Sumaira Fayyaz Khan MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SUMAIRA FAYYAZ KHAN MD LLC

Practice address

18022 Cozumel Isle Dr
Tampa, FL 33647-3373

Phone

(813) 425-5826

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sumaira Fayyaz Khan, MDNPI 1831213073

Title

President

Phone

(813) 425-5826

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sumaira F Khan, MD

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1831213073
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1649533787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18022 COZUMEL ISLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18022 COZUMEL ISLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473373",
            "telephone_number": "813-425-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMAIRA FAYYAZ KHAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SUMAIRA",
        "authorized_official_middle_name": "FAYYAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-425-5826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Frank Sulma, OTR/L
• Reshma Sulthana
• Andrew Sultzbaugh, MD
• Sue Jean Sultzer, LMT
• Shakiyah Suluki, BCBA
• Sumesh Chandra MD PA
• Laurel Summa
• Michael Anthony Summa Jr., D.C
• Jessica Summerlin
• Earlene Alicia Summerline - Steele, OTR

• Psychiatry Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.