Individual
AIJAN T. UKUDEEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5481 W WATERS AVE, SUITE 111, TAMPA, FL 33634
(305) 585-8381
Mailing address
1611 NW 12TH AVE STE 2044, MIAMI, FL 33136-1005
(305) 585-8381
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
36242
WV
207ZP0101X
Anatomic Pathology Physician
Primary
BP20060926
TX
Other
Enumeration date
06/03/2014
Last updated
04/01/2026
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