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General NPI Number Information
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NPI Number | 1659932846
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Entity Type | Individual
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Provider Name | RAGHAD ALKHAFAJI MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 3515 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33613-4706
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Country | US
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Telephone | 813-821-8038
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917770
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone | 813-821-8038
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2019020584
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D0097383
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME176525
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License Number State | FL
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