Healthcare Provider Details

I. General information

NPI: 1538168265
Provider Name (Legal Business Name): ASAD SAWAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 01/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 E 138TH AVE 12
TAMPA FL
33613-3904
US

IV. Provider business mailing address

3010 E 138TH AVE SUITE 12
TAMPA FL
33613-3904
US

V. Phone/Fax

Practice location:
  • Phone: 813-975-2800
  • Fax: 813-977-7631
Mailing address:
  • Phone: 813-975-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME0081234
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME81234
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: