Individual
AISHA AMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4315 HIGHLAND PARK BLVD STE A, LAKELAND, FL 33813-1639
(863) 816-5884
(863) 940-4856
Mailing address
4315 HIGHLAND PARK BLVD STE A, LAKELAND, FL 33813-1639
(863) 816-5884
(863) 940-4856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME127141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018840400
—
FL
01
—
4611784
CIGNA
FL
01
—
IS603Z
MEDICARE
FL
01
—
P01775244
RR MEDICARE
FL
01
—
XKA24
BCBS
FL
Enumeration date
05/13/2010
Last updated
02/18/2022
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