Dr Tara Emily Mokhtari, MD | |
13330 Usf Laurel Dr, Tampa, FL 33612-6601 | |
(813) 821-8038 | |
Not Available |
Full Name | Dr Tara Emily Mokhtari |
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Gender | Female |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 13330 Usf Laurel Dr, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477083814 | NPI | - | NPPES |
123695100 | Medicaid | FL | |
ACRWZ | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 2023010298 (Missouri) | Secondary |
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | ME170056 (Florida) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356381842 PECOS PAC ID: 9830008770 Enrollment ID: O20041013000030 |
Mailing Address | Practice Location Address |
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Dr Tara Emily Mokhtari, MD Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Dr Tara Emily Mokhtari, MD 13330 Usf Laurel Dr, Tampa, FL 33612-6601 Ph: (813) 821-8038 |
Dr. Janet I Lee, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7425 Monika Manor Dr, Tampa, FL 33625 Phone: 813-879-8045 Fax: 813-960-3299 | |
Dr. Thomas Stuart Herman, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8415 Bayshore Blvd, Mdos/sgosl, Tampa, FL 33621 Phone: 813-827-9944 Fax: 813-828-8186 | |
Karin Swisher Hotchkiss, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5105 N Armenia Ave, Tampa, FL 33603 Phone: 813-879-8045 | |
Jonathan D. Forman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 508 S Habana Ave, Suite #170, Tampa, FL 33609 Phone: 813-877-3100 Fax: 813-877-3800 | |
Timothy Seng Lian, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 14521 University Point Pl, Tampa, FL 33613 Phone: 866-400-3376 Fax: 813-977-1664 | |
Dr. Dennis S Agliano, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Florida Ent & Allergy, 5105 N Armenia Ave, Tampa, FL 33603 Phone: 813-879-8045 Fax: 813-876-6504 | |
Dr. Rene A Boothby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Florida Ent & Allergy, 5105 N Armenia Ave, Tampa, FL 33603 Phone: 813-879-8045 Fax: 813-876-6504 |