Individual
AHMED R. BATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
(954) 851-1758
Mailing address
1605 LAKES PKWY, LAWRENCEVILLE, GA 30043-5858
(904) 819-4478
(904) 819-4993
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME78120
FL
Other
Enumeration date
02/11/2006
Last updated
07/08/2007
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