Individual provider Active NPI

Gul S Wajahat, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1437243292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME83533 Issued in FL
Practice address
10566 Cory Lake Dr
Tampa, FL 33647-2710
Phone
(813) 986-2680
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME83533 FL Primary

Addresses

Primary practice location

10566 Cory Lake Dr
Tampa, FL 33647-2710

Mailing address

10566 Cory Lake Dr
Tampa, FL 33647-2710
Phone (813) 986-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709000561 FL Order and Referring Only - Family PracticePractitioner - Family Practice 5597798579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83533FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Hospitalists PL Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437243292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10566 CORY LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472710",
            "telephone_number": "813-986-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10566 CORY LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472710",
            "telephone_number": "813-986-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJAHAT",
        "first_name": "GUL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.