Ali Sandouka, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Brandon, Florida. His current practice location is
119 Oakfield Dr, Brandon, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 916-2357.
Ali Sandouka is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275235988.
Physician's Profile
| Full Name | Ali Sandouka |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 119 Oakfield Dr, Brandon, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275235988
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 07/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 3173984655
- Enrollment ID: I20230731003347
Medical Identifiers
Medical identifiers for Ali Sandouka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275235988 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 0102209905 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ali Sandouka is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ali Sandouka, 8012 Terrace Arbor Ct, Tampa, FL 33637-3010 Ph: (813) 455-7720 | Ali Sandouka, 119 Oakfield Dr, Brandon, FL 33511-5779 Ph: (813) 916-2357 |
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