Individual
MUHAMMED WASIM NIAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 ROCKLEDGE BLVD, UNIT 101, ROCKLEDGE, FL 32955
(321) 636-8366
(321) 636-3985
Mailing address
1910 ROCKLEDGE BLVD, UNT 101, ROCKLEDGE, FL 32955
(321) 636-8366
(321) 636-3985
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME58732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500148
UNITED
FL
01
—
26705
BC BS
FL
01
—
45249
BC BS GRP
FL
01
—
4657556
AETNA
FL
01
—
5395693
AETNA GRP
FL
Enumeration date
12/01/2005
Last updated
07/08/2007
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