Provider Demographics
NPI:1417344201
Name:ALMUKHTAR, TALAT H (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:TALAT
Middle Name:H
Last Name:ALMUKHTAR
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 VONDERBURG DRIVE
Mailing Address - Street 2:SUITE 204; EAST TOWER BUILDING
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511
Mailing Address - Country:US
Mailing Address - Phone:813-681-7278
Mailing Address - Fax:813-441-8903
Practice Address - Street 1:500 VONDERBURG DR STE 204
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5999
Practice Address - Country:US
Practice Address - Phone:813-681-7278
Practice Address - Fax:813-441-8903
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME135263207RH0003X, 207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine