Provider Demographics
NPI:1669510624
Name:HIRA, ALEKH (MD)
Entity type:Individual
Prefix:DR
First Name:ALEKH
Middle Name:
Last Name:HIRA
Suffix:
Gender:M
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:PO BOX 340957
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33694-0957
Mailing Address - Country:US
Mailing Address - Phone:727-376-6578
Mailing Address - Fax:727-376-6784
Practice Address - Street 1:10006 CROSS CREEK BLVD
Practice Address - Street 2:#431
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2595
Practice Address - Country:US
Practice Address - Phone:727-376-6578
Practice Address - Fax:813-333-1214
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97582208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100605900Medicaid
FL2804891OtherUNITED HEALTH CARE
FL90642OtherBCBSFL
FL9215095OtherAETNA
FLME97582OtherMEDICAL LICENSE
FL279718600Medicaid
FL15352001OtherCITRUS HEALTH CARE
FL310820OtherAVMED
FL328027OtherAMERIGROUP
FL7865131OtherCIGNA