Healthcare Provider Details

I. General information

NPI: 1720728314
Provider Name (Legal Business Name): HANIA AHMED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E FLETCHER AVE
TAMPA FL
33613-4613
US

IV. Provider business mailing address

3100 E FLETCHER AVE
TAMPA FL
33613-4613
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4770
  • Fax: 813-467-4243
Mailing address:
  • Phone: 813-467-4770
  • Fax: 813-467-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA12597000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME180455
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: