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Organization
IFTIKHAR AHMAD M.D P.A.
Active
Organization
IFTIKHAR AHMAD M.D P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFTIKHAR AHMAD M.D. (PRESIDENT)
(386) 325-7584
Entity
Organization
Contact information
Practice address
520 ZEAGLER DR, PALATKA, FL 32177-3813
(386) 325-7584
(386) 325-1221
Mailing address
520 ZEAGLER DR, PALATKA, FL 32177-3813
(386) 325-7584
(386) 325-1221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051484500
—
FL
01
—
54034
BLUE CROSS AND BLUE SHIELD FLORIDA
FL
Enumeration date
02/19/2010
Last updated
02/19/2010
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