Provider Demographics
NPI:1386081297
Name:TAMPA PSYCHIATRY INC.
Entity type:Organization
Organization Name:TAMPA PSYCHIATRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHISTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-515-9112
Mailing Address - Street 1:5807 ARGERIAN DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-4151
Mailing Address - Country:US
Mailing Address - Phone:720-515-9112
Mailing Address - Fax:888-958-5968
Practice Address - Street 1:5807 ARGERIAN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4151
Practice Address - Country:US
Practice Address - Phone:720-515-9112
Practice Address - Fax:888-958-5968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1097052084P0804X
FLME1036022084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty