# AHSAN KAMAL MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720473051
- **Authorized official:** AHSAN KAMAL MD (OWNER)
- **Authorized official phone:** (941) 206-5200

## Contact information

- **Practice address:** 700 MEDICAL BLVD, ENGLEWOOD, FL 34223-3964
- **Practice address phone:** (941) 206-5200
- **Practice address fax:** (941) 276-3436
- **Mailing address:** PO BOX 495009, PORT CHARLOTTE, FL 33949-5009
- **Mailing address phone:** (941) 206-5200
- **Mailing address fax:** (941) 276-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME97373 | FL | Yes |

## Other

- **Enumeration date:** 04/03/2015
- **Last updated:** 04/03/2015