Individual
MR. NASIR IQBAL RAHMATULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1819 W OAK ST, KISSIMMEE, FL 34741-4077
(407) 870-8220
(407) 900-2163
Mailing address
1819 W OAK ST, KISSIMMEE, FL 34741-4077
(407) 870-8220
(407) 900-2163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0067241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376825200
—
FL
Enumeration date
07/04/2006
Last updated
08/19/2016
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