Provider Demographics
NPI:1376275719
Name:MASTER, FAIZAN ASHARAF BHAI (MD)
Entity type:Individual
Prefix:
First Name:FAIZAN
Middle Name:ASHARAF BHAI
Last Name:MASTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26854 SAXONY WAY APT 201
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6485
Mailing Address - Country:US
Mailing Address - Phone:682-352-6317
Mailing Address - Fax:
Practice Address - Street 1:13311 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-1161
Practice Address - Country:US
Practice Address - Phone:813-899-2015
Practice Address - Fax:813-355-5904
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME174635207Q00000X
IL125081015207Q00000X
IL036172592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine