Individual
DR. EMRAN RIAZ IMAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 BROADBAND DR, MELBOURNE, FL 32901-2623
(321) 733-1901
(321) 733-0211
Mailing address
PO BOX 33428, INDIALANTIC, FL 32903-0428
(321) 733-1901
(321) 733-0211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME56101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370625700
—
FL
Enumeration date
02/13/2006
Last updated
02/02/2017
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