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

Pukhraz Basra, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1407227721

Pukhraz Basra, MD is a Pathology in Tampa, Florida. Qualified in 2014, 12 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015
Specialties on file
3
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

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone: (813) 745-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4300 Alton Rd, Miami Beach, FL 33140-2948 — (305) 674-2277

Specialties & licences

Hematology (Pathology) Physician (primary) Taxonomy 207ZH0000X · Licence ME139834 (FL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence ME139834 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TRN21919 (FL)

Record details

NPI number1407227721
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2015
Last updated in NPPESApril 24, 2019
Mailing address17 Davis Blvd Ste 308, Tampa, FL 33606-3438

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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