Individual
DR. AVTAR T GHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6901 INTERNATIONAL CENTER BLVD, FT MYERS, FL 33912-7125
(239) 939-4323
(239) 939-3983
Mailing address
6901 INTERNATIONAL CENTER BLVD, FORT MYERS, FL 33912-7125
(239) 939-4323
(239) 939-3983
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME0080678
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME80678
FL
208000000X
Pediatrics Physician
ME0080678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180041380
RAILROAD MEDICARE
FL
05
—
259519200
—
FL
05
—
374440000
—
FL
01
—
CA7010
RAILROAD MEDICARE GROUP
FL
Enumeration date
10/04/2005
Last updated
12/01/2017
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