MEDICARE: DR. SALEEM AHMED M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD072834L	PA
2	207R00000X	Internal Medicine Physician	ME152712	FL
3	207RC0000X	Cardiovascular Disease Physician	ME152712	FL
4	207RI0011X	Interventional Cardiology Physician	ME152712	FL

General Provider Information

NPI Number	:	1568434553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALEEM AHMED M.D

Provider Business Mailing Address
First Line	:	2100 OCOEE APOPKA RD STE 120
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-9210
Country	:	US
Telephone Number	:	407-889-1930
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 OCOEE APOPKA RD STE 120
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-9210
Country	:	US
Telephone Number	:	407-889-1930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	01/17/2023

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