Active NPI
Azeem Khan, MD
- Anatomic Pathology & Clinical Pathology Physician
- Tampa, FL
National Provider Identifier
1508483579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME173341
- Practice address
- 3100 E Fletcher Ave
Tampa, FL 33613-4613 - Phone
- (813) 971-6000
- NPI assigned
- Jun 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME173341 | FL | Primary |
Addresses
Primary practice location
3100 E Fletcher Ave
Tampa, FL 33613-4613
Mailing address
9924 Azalea Bloom Way Apt 307
Riverview, FL 33578-4636
Phone (407) 655-8284
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508483579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9924 AZALEA BLOOM WAY APT 307",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335784636",
"telephone_number": "407-655-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "813-971-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AZEEM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-25",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME173341",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.