Individual
IRTEZA BIN INAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 N ORANGE AVE, SUITE 200, ORLANDO, FL 32804-5505
(407) 303-1812
(407) 303-1815
Mailing address
2415 N ORANGE AVE, SUITE 200, ORLANDO, FL 32804-5505
(407) 303-1812
(407) 303-1815
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME104452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01245000
—
FL
01
—
145M3
BCBS
—
Enumeration date
05/14/2008
Last updated
10/05/2020
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