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Individual

AHAD MAHOOTCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6739 GALL BLVD, ZEPHYRHILLS, FL 33542-2522
(813) 779-3338
(813) 779-3318
Mailing address
PO BOX 1059, ZEPHYRHILLS, FL 33539-1059
(813) 779-3338
(813) 779-3318

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
72135
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32672
BLUE SHIELD
FL
Enumeration date
07/12/2005
Last updated
01/07/2008
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