Active NPI
Mouradi Elchahal, MD PA
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1922041797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME47273
- Practice address
- 13801 Bruce B Downs Blvd
Suite 104
Tampa, FL 33613-3946 - Phone
- (813) 972-5420
- Fax
- (813) 977-2021
- NPI assigned
- Jun 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME47273 | FL | Primary |
Addresses
Primary practice location
13801 Bruce B Downs Blvd
Suite 104
Tampa, FL 33613-3946
Mailing address
13801 Bruce B Downs Blvd
Suite 104
Tampa, FL 33613-3946
Phone (813) 972-5420
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 Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME47273 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1922041797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD",
"address_2": "SUITE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133946",
"telephone_number": "813-972-5420",
"fax_number": "813-977-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD",
"address_2": "SUITE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133946",
"telephone_number": "813-972-5420",
"fax_number": "813-977-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELCHAHAL",
"first_name": "MOURADI",
"credential": "MD PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME47273",
"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 May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.