Healthcare Provider Details

I. General information

NPI: 1770531337
Provider Name (Legal Business Name): AZHAR PASHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8146 CEREBELLUM WAY STE 102
TRINITY FL
34655-1786
US

IV. Provider business mailing address

17920 CACHET ISLE DR
TAMPA FL
33647-2702
US

V. Phone/Fax

Practice location:
  • Phone: 727-264-8865
  • Fax: 855-801-6125
Mailing address:
  • Phone: 601-938-0950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number17681
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number17681
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME171960
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: