Male or Other

Amit Razdan MD

Child & Adolescent Psychiatry Physician in Tampa, FL(View on Map)

Full Name

Amit Razdan MD

NPI Number

1992740252

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/19/2006

Specialties

(Taxonomies)

Code

2084P0804X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME103119

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 917770
3515 E FLETCHER AVE

City

Orlando
Tampa

State

FL
FL

Postal Code

32891-7770
33613-4706

Country

US
US

Telephone Number

(813) 974-8900
(813) 974-8900

Identifiers

Identifier

000759400
29893

Identifier State

FL
FL

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/01/2009

Provider Address

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