Individual
KANEEZ Z AGHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
199 S WICKHAM RD, MELBOURNE, FL 32904-1131
(321) 953-5364
(321) 953-9975
Mailing address
199 S WICKHAM RD, MELBOURNE, FL 32904-1131
(321) 953-5364
(321) 953-9975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME070871
FL
Other
Enumeration date
05/27/2006
Last updated
07/13/2012
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