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Organization
RAHEEL AHMED MD PA
Active
Organization
RAHEEL AHMED MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHEEL AHMED MD (PHYSICIAN/OWNER)
(772) 465-8089
Entity
Organization
Contact information
Practice address
1900 NEBRASKA AVE, SUITE 3, FORT PIERCE, FL 34950-4837
(772) 465-8089
(772) 465-8091
Mailing address
782 SW MARSH HARBOR BAY, PORT ST LUCIE, FL 34986-3439
(772) 465-8089
(772) 465-8091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME71089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250869900
—
FL
01
—
31418
BCBS
FL
Enumeration date
01/24/2007
Last updated
01/13/2011
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