Raphael Khorran MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0042171 Issued in FL

Legal business name

RAPHAEL KHORRAN MD PA

Practice address

512 S Dale Mabry Hwy
Tampa, FL 33609-3906

Phone

(813) 875-7916

Fax

(816) 875-5513

NPI assigned

Dec 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Raphael Khorran, MD

Title

President

Phone

(813) 875-7916

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1578893335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093906",
            "telephone_number": "813-875-7916",
            "fax_number": "816-875-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093906",
            "telephone_number": "813-875-7916",
            "fax_number": "816-875-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL KHORRAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "KHORRAN",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-875-7916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0042171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sanjiv A Rao, DO
• Villamor Guinto Rapatalo, RN
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• Jorge Rapiman Sr.
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• Ashley Raposo

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.