Active NPI
Hussain Mohammed Khrad, MBBS
- Addiction Psychiatry Physician
- Tampa, FL
National Provider Identifier
1023336997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- ME120097
- Practice address
- 13000 Bruce B Downs Blvd
Addiction Psychiatry
Tampa, FL 33612-4745 - Phone
- (617) 302-6116
- NPI assigned
- May 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 244609 | MA | |
| Addiction Psychiatry Physician | 2084P0802X | ME120097 | FL | Primary |
Addresses
Primary practice location
13000 Bruce B Downs Blvd
Addiction Psychiatry
Tampa, FL 33612-4745
Mailing address
13000 Bruce B Downs Blvd
Addiction Psychiatry
Tampa, FL 33612-4745
Phone (617) 302-6116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244609 | MA | MD | Psychiatry Physician |
| ME120097 | FL | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1023336997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 BRUCE B DOWNS BLVD",
"address_2": "ADDICTION PSYCHIATRY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124745",
"telephone_number": "617-302-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 BRUCE B DOWNS BLVD",
"address_2": "ADDICTION PSYCHIATRY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124745",
"telephone_number": "617-302-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHRAD",
"first_name": "HUSSAIN",
"middle_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-17",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "244609",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "FL",
"license": "ME120097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.