Provider Demographics
NPI:1568432896
Name:SARWAR, RIFAT (MD)
Entity Type:Individual
Prefix:MRS
First Name:RIFAT
Middle Name:
Last Name:SARWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10536 MARTINIQUE ISLE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2774
Mailing Address - Country:US
Mailing Address - Phone:863-604-5005
Mailing Address - Fax:863-686-0160
Practice Address - Street 1:10536 MARTINIQUE ISLE DR STE 1
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2774
Practice Address - Country:US
Practice Address - Phone:863-604-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48897207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375903200Medicaid
FL375903200Medicaid
FLDC707ZMedicare PIN