Boulad, Alaa
Boulad, Alaa is an individual health care provider with primary practice located at 4450 E Fletcher Ave Ste C , Tampa FL 33613-4907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Boulad, Alaa can be contacted via phone (813) 975-2800.Contact Information
Primary practice address
4450 E Fletcher Ave Ste C
Tampa FL 33613-4907
Phone: (813) 975-2800
Fax: (813) 977-7924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME144678 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME144678 | Florida |
Profile Details
| NPI number | 1659626653 |
|---|---|
| LBN Legal business name | Boulad, Alaa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jun 1st, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659626653 | NPPES |
| Florida | MEDICAID | 111383600 |
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