Individual
AMANULLAH BILAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-8078
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28372
NE
207R00000X
Internal Medicine Physician
71347
WI
207R00000X
Internal Medicine Physician
ME158028
FL
208M00000X
Hospitalist Physician
Primary
ME158028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115345300
—
FL
01
—
PT115
MEDICARE HF
FL
Enumeration date
01/22/2013
Last updated
09/12/2022
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