Individual
DR. MINAL AHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSPH
Contact information
Practice address
5 TAMPA GENERAL CIR # 750, TAMPA, FL 33606-3601
(813) 844-3397
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME122822
FL
208000000X
Pediatrics Physician
ME122822
FL
208M00000X
Hospitalist Physician
Primary
ME122822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014494500
—
FL
01
—
14Z6N
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/21/2010
Last updated
04/26/2021
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