Individual
ASHIK JIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26645 MIDDLEGROUND LOOP, WESLEY CHAPEL, FL 33544-1528
(813) 846-3581
Mailing address
26645 MIDDLEGROUND LOOP, WESLEY CHAPEL, FL 33544-1528
(813) 846-3581
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD456286
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2011
Last updated
10/29/2015
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