Individual
WAQAS A GHUMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 JFK DR, SUITE 320, ATLANTIS, FL 33462-6641
(561) 548-4900
(561) 434-5165
Mailing address
180 JFK DR, SUITE 320, ATLANTIS, FL 33462-6641
(561) 548-4900
(561) 434-5165
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
01052070A
IN
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
ME126314
FL
207RC0000X
Cardiovascular Disease Physician
01052070A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01052070A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01052070A
IN
2086S0129X
Vascular Surgery Physician
01052070A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375660
—
IN
01
—
P01214639
RR MEDICARE PTAN
IN
Enumeration date
04/17/2006
Last updated
02/10/2022
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