Individual
PUYA ALIKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, 7TH FLOOR, TAMPA, FL 33606-3603
(813) 259-0965
(813) 259-0858
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME128455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017931600
—
FL
01
—
RZN1
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/17/2009
Last updated
03/18/2021
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