NPIMap

Organization Active NPI

Sharad R Lakdawala M.D., PA

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1477885002
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 38202 Issued in FL
Legal business name
SHARAD R LAKDAWALA M.D., PA
Practice address
2908 W Waters Ave
Suite#101
Tampa, FL 33614-1874
Phone
(813) 935-4145
Fax
(813) 935-0550
NPI assigned
Feb 8, 2010
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Mr. Sharad R Lakdawala, M.D.NPI 1194774687
Title
President
Phone
(813) 935-4145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 38202 FL Primary

Addresses

Primary practice location

2908 W Waters Ave
Suite#101
Tampa, FL 33614-1874

Mailing address

2908 W Waters Ave
Suite#101
Tampa, FL 33614-1874
Phone (813) 935-4145

Other identifiers 1

IdentifierTypeStateIssuer
065892800MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1477885002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 W WATERS AVE",
            "address_2": "SUITE#101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141874",
            "telephone_number": "813-935-4145",
            "fax_number": "813-935-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W WATERS AVE",
            "address_2": "SUITE#101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141874",
            "telephone_number": "813-935-4145",
            "fax_number": "813-935-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARAD R LAKDAWALA M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "LAKDAWALA",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-935-4145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 38202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065892800",
            "state": "FL"
        }
    ],
    "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 Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.