Healthcare Provider Details

I. General information

NPI: 1144884040
Provider Name (Legal Business Name): ALAUDDIN EL-HAG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1839 CENTRAL AVE
ST PETERSBURG FL
33713-8900
US

IV. Provider business mailing address

1839 CENTRAL AVE
ST PETERSBURG FL
33713-9089
US

V. Phone/Fax

Practice location:
  • Phone: 727-322-1054
  • Fax: 727-821-7213
Mailing address:
  • Phone: 727-322-1054
  • Fax: 727-821-7213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD493032C
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD493032C
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME156000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: