Individual
ARDESHIR HAKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 249-9861
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME72846
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME72846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256442400
—
FL
01
—
259947
AVMED
FL
01
—
46656
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/09/2006
Last updated
11/11/2025
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