Healthcare Provider Details

I. General information

NPI: 1114011939
Provider Name (Legal Business Name): MOHAMMED KHALED ZAHRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S ARMENIA AVE
TAMPA FL
33609-4123
US

IV. Provider business mailing address

5015 W NASSAU ST
TAMPA FL
33607-3814
US

V. Phone/Fax

Practice location:
  • Phone: 813-353-8803
  • Fax: 813-353-8602
Mailing address:
  • Phone: 813-356-0196
  • Fax: 813-356-0197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number17561
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME64713
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: