MEDICARE: DR. ALICIA S KANHAI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO 3057	FL

General Provider Information

NPI Number	:	1164492609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA S KANHAI DPM

Provider Business Mailing Address
First Line	:	8113 BRINEGAR CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-1769
Country	:	US
Telephone Number	:	813-382-4920
Fax Number	:

Provider Business Practice Location Address
First Line	:	3355 W BEARSS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2100
Country	:	US
Telephone Number	:	813-443-4549
Fax Number	:	813-482-0718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	02/03/2011

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