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Individual

AYAD SHUKUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7975 LAKE UNDERHILL RD STE 240, ORLANDO, FL 32822-8208
(407) 265-2042
(407) 289-5263
Mailing address
PO BOX 780547, ORLANDO, FL 32878-0547
(407) 482-5588
(407) 358-5084

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
93764
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000283500
FL
05
200064130A
OK
Enumeration date
01/29/2007
Last updated
11/18/2021
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