MEDICARE: AYMAN ABDELWAHAB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0206X	Pediatric Gastroenterology Physician	ME177034	FL

General Provider Information

NPI Number	:	1851383178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYMAN ABDELWAHAB M.D.

Provider Business Mailing Address
First Line	:	3003 W MLK BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6307
Country	:	US
Telephone Number	:	813-870-4438
Fax Number	:	813-870-4153

Provider Business Practice Location Address
First Line	:	3003 W MLK BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6307
Country	:	US
Telephone Number	:	813-870-4438
Fax Number	:	813-870-4153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	01/06/2026

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