Provider Demographics
NPI:1831901875
Name:SHIFAA WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:SHIFAA WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:HUSSAIN
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-597-8870
Mailing Address - Street 1:25049 LAMBRUSCO LOOP
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-1807
Mailing Address - Country:US
Mailing Address - Phone:813-597-8870
Mailing Address - Fax:
Practice Address - Street 1:25049 LAMBRUSCO LOOP
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-1807
Practice Address - Country:US
Practice Address - Phone:813-597-8870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty