Provider Demographics
NPI:1740451798
Name:AMIR H FEGHHI MD PA
Entity type:Organization
Organization Name:AMIR H FEGHHI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPITALIST
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:FEGHHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-778-2907
Mailing Address - Street 1:PO BOX 48078
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33646-0118
Mailing Address - Country:US
Mailing Address - Phone:813-778-2907
Mailing Address - Fax:813-388-5667
Practice Address - Street 1:10806 BARBADOS ISLE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2791
Practice Address - Country:US
Practice Address - Phone:813-778-2907
Practice Address - Fax:813-388-5667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92015208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty