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Individual

DR. AYSHA AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801
Mailing address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS16122
FL
207R00000X
Internal Medicine Physician
UO5068
FL
208M00000X
Hospitalist Physician
Primary
OS16122
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103762300
FL
Enumeration date
06/10/2016
Last updated
03/03/2022
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