Individual
DR. ASHIK NISAR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(239) 343-6260
(239) 343-6259
Mailing address
1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 263-4460
(239) 343-6259
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME93391
FL
208000000X
Pediatrics Physician
ME93391
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME93391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274236500
—
FL
01
—
29462
BCBS
FL
Enumeration date
12/20/2005
Last updated
03/26/2025
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