MEDICARE: DR. AZIZ A ALKHAFAJI MD

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	2086S0129X	Vascular Surgery Physician	ME0050610	FL
2	208600000X	Surgery Physician	ME0050610	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	04335	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922074830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AZIZ A ALKHAFAJI MD

Provider Business Mailing Address
First Line	:	14690 SPRING HILL DR
Second Line	:	STE 101
City	:	SPRING HILL
State	:	FL
Zip	:	34609-8102
Country	:	US
Telephone Number	:	352-799-0046
Fax Number	:	352-799-0115

Provider Business Practice Location Address
First Line	:	5411 GRAND BLVD
Second Line	:	SUITE 109
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4010
Country	:	US
Telephone Number	:	727-342-3445
Fax Number	:	727-841-9141

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	07/21/2022

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Directions to “ DR. AZIZ A ALKHAFAJI MD” Practice Location

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