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

Dr. Balsam Fanous, MD

Individual provider Psychiatry Physician · NPI 1619024007

Dr. Balsam Fanous, MD is a Psychiatry Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

12512 Bruce B Downs Blvd
Tampa, FL 33612-9209
Phone: (813) 977-8700
Fax: (813) 971-2029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME41656 (FL)

Record details

NPI number1619024007
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 9, 2007

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