MEDICARE: AMIT KUMAR TAGGAR MD

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	208600000X	Surgery Physician	A125937	CA
2	208600000X	Surgery Physician	33414	AL
3	208600000X	Surgery Physician	94-07082	KS
4	208600000X	Surgery Physician	ME128415	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740443316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT KUMAR TAGGAR MD

Provider Business Mailing Address
First Line	:	PO BOX 22271
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33622-2271
Country	:	US
Telephone Number	:	727-823-2188
Fax Number	:	727-828-0723

Provider Business Practice Location Address
First Line	:	1502 W FLETCHER AVE STE 107
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3308
Country	:	US
Telephone Number	:	813-549-2392
Fax Number	:	888-440-3197

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

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	01/13/2025

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