Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aijan T. Ukudeeva, MD

Individual provider Anatomic Pathology Physician · NPI 1477966992

Aijan T. Ukudeeva, MD is a Pathology in Tampa, Florida. Qualified in 1994, 32 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Texas and West Virginia.

Years since qualifying
32
Licensed in
TX, WV
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5481 W Waters Ave Ste 111
Tampa, FL 33634
Phone: (305) 585-8381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 501 Morris St, Charleston, WV 25301-1326 — (304) 388-5432
  • 800 Pennsylvania Ave, Charleston, WV 25302-3351 — (304) 388-5432
  • 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 — (304) 388-5432
  • 1400 Hospital Dr, Hurricane, WV 25526-9202 — (304) 757-1700

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence BP20060926 (TX)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 36242 (WV)

Record details

NPI number1477966992
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address1611 Nw 12th Ave Ste 2044, Miami, FL 33136-1005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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