| Kousalya Sara, MD | |
| 2700 Healing Way Ste 303, Wesley Chapel, FL 33543-5471 | |
| (813) 929-5380 | |
| (813) 929-5991 | 
| Full Name | Kousalya Sara | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 2700 Healing Way Ste 303, Wesley Chapel, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407048028 | NPI | - | NPPES | 
| ME99943 | Other | FL | FLORIDA BOARD OF MEDICINE | 
| 60230 | Other | GA | GA MEDICAL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 60230 (Georgia) | Secondary | 
| 208000000X | Pediatrics | ME99943 (Florida) | Primary | 
| Entity Name | Florida Hospital Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kousalya Sara, MD 2700 Healing Way Ste 303, Wesley Chapel, FL 33543-5471 Ph: (813) 929-5380 | Kousalya Sara, MD 2700 Healing Way Ste 303, Wesley Chapel, FL 33543-5471 Ph: (813) 929-5380 | 
| Dr. Christine C Booth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 32075 Wenlock Loop, Wesley Chapel, FL 33543 Phone: 727-642-9225 | |
| Dr. Beena Mathews Wilkins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5259 Village Market, Wesley Chapel, FL 33544 Phone: 813-973-0333 Fax: 813-973-2313 | |
| Ayele Hadero, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Bruce B Downs Blvd, Wesley Chapel, FL 33544 Phone: 813-929-5000 | |
| Dr. Sylvia Elisabeth Arroyo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Bruce B Downs Blvd, Wesley Chapel, FL 33544 Phone: 813-929-5000 | |
| Dr. Siva Prasanna Tadisetti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2615 Windguard Cir, Ste 102, Wesley Chapel, FL 33544 Phone: 813-333-3331 Fax: 813-466-7482 | |
| Dr. Nancy M Silva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2527 Windguard Cir, Suite 102, Wesley Chapel, FL 33544 Phone: 813-907-8001 Fax: 813-907-5744 |