Individual
DR. AHSAN KAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD. PA.
Contact information
Practice address
21202 OLEAN BLVD STE C6, PORT CHARLOTTE, FL 33952-6771
(941) 889-7440
(941) 391-6089
Mailing address
21202 OLEAN BLVD STE C6, PORT CHARLOTTE, FL 33952-6771
(941) 889-7440
(941) 391-6089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME97373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005U2
BCBS FL
FL
01
—
02180
BCBS
FL
01
—
6413103
CIGNA
FL
01
—
ME97373
FL STATE MEDICAL LICENSE
FL
Enumeration date
04/27/2007
Last updated
09/25/2024
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