Individual
DR. ARDALANEJAZ AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3733
(352) 273-6815
(352) 273-7515
Mailing address
PO BOX 100247, GAINESVILLE, FL 32610-0247
(352) 273-6815
(352) 273-7515
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME142420
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2009
Last updated
01/31/2020
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