Individual
DR. KHADER MUQTADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13905 BRUCE B DOWNS BLVD STE B, TAMPA, FL 33613-3998
(813) 978-9494
(813) 979-4817
Mailing address
13905 BRUCE B DOWNS BLVD STE B, TAMPA, FL 33613-3998
(813) 978-9494
(813) 979-4817
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME 98421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01372
BCBSFL
FL
01
—
161339600
DOL
FL
Enumeration date
04/24/2007
Last updated
02/18/2022
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