Organization
IGKHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHAZALA I AHMED M.D. (PRESIDENT)
(407) 342-1896
Entity
Organization
Contact information
Practice address
724 CHARLES ST, ORLANDO, FL 32808-7509
(407) 295-2039
Mailing address
8980 KILGORE RD, ORLANDO, FL 32836-5414
(407) 342-1896
(407) 876-8235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0059456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053339400
—
FL
Enumeration date
08/05/2015
Last updated
08/05/2015
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