Issam Albanna, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0061731 Issued in FL

Legal business name

ISSAM ALBANNA, MD, PA

Practice address

3288 Cove Bend Dr
Tampa, FL 33613-2752

Phone

(813) 979-4435

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Issam I Albanna, MDNPI 1023007135

Title

Director

Phone

(813) 979-4435

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Albanna Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Issam I Albanna, MD

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1023007135
  NPD (past) Authorized official

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1861801029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-979-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-979-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAM ALBANNA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "ALBANNA",
        "authorized_official_first_name": "ISSAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-979-4435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0061731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379455500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albanna Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaime Israel, MA
• Keela R Israel
• Issa M Issa, DMD
• Marcelle Issa
• Natalya Issai
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• Itoro and Idara Warm Embrace LLC
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• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.