Organization
AMIR AHMAD, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR AHMAD MD (OWNER /OPERATOR)
(863) 688-0178
Entity
Organization
Contact information
Practice address
1500 LAKELAND HILLS BLVD, STE 7, LAKELAND, FL 33805-3257
(863) 688-0178
Mailing address
1500 LAKELAND HILLS BLVD, STE 7, LAKELAND, FL 33805-3257
(863) 688-0178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME22230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972646859
AFFILIATED PROVIDER NPI #
FL
Enumeration date
07/15/2010
Last updated
07/15/2010
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