Organization
IMAD AL-NAKSHABENDI M D P A
Active
Organization
IMAD AL-NAKSHABENDI M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAD AL-NAKSHABENDI MD (PRESIDENT)
(813) 972-3750
Entity
Organization
Contact information
Practice address
671 S KINGS AVE, BRANDON, FL 33511-6048
(813) 972-3750
(813) 972-3749
Mailing address
5041 WESLEY DR, TAMPA, FL 33647-1376
(813) 972-3750
(813) 972-3749
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME79277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261817600
—
FL
Enumeration date
11/08/2007
Last updated
04/21/2021
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