Individual
MARYAM KASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2415 N ORANGE AVE, SUITE 200, ORLANDO, FL 32804-5505
(407) 303-1812
Mailing address
2415 N ORANGE AVE, SUITE 200, ORLANDO, FL 32804-5505
(407) 303-1812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L6974
TX
207R00000X
Internal Medicine Physician
OS10919
FL
207RG0100X
Gastroenterology Physician
Primary
OS10919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002135700
—
FL
01
—
149N9
BCBS
FL
05
—
161470302
—
TX
Enumeration date
08/24/2006
Last updated
09/17/2012
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