Active NPI
Anahita Azharian, DO
- Plastic Surgery Physician
- Tampa, FL
National Provider Identifier
1841460185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- OS11384
- Practice address
- 2611 Heatherwood Dr
Tampa, FL 33618-1160 - Phone
- (954) 646-7243
- NPI assigned
- Mar 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0T010986 | PA | |
| Plastic Surgery Physician | 208200000X | OS11384 | FL | Primary |
| Plastic Surgery Physician | 208200000X | 259049-1 | NY |
Addresses
Primary practice location
2611 Heatherwood Dr
Tampa, FL 33618-1160
Mailing address
2611 Heatherwood Dr
Tampa, FL 33618-1160
Phone (954) 646-7243
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259049-1 | NY | MD | Plastic Surgery Physician |
| 0T010986 | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1841460185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 HEATHERWOOD DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181160",
"telephone_number": "954-646-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 HEATHERWOOD DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181160",
"telephone_number": "954-646-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZHARIAN",
"first_name": "ANAHITA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "0T010986",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "OS11384",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "259049-1",
"primary": false
}
],
"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 May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.