MEDICARE: DR. RAHEEL AHMED MD

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	207R00000X	Internal Medicine Physician	ME 0071089	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1629047816	OTHER	FL	CURRENT NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629047816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAHEEL AHMED MD

Provider Business Mailing Address
First Line	:	2215 NEBRASKA AVE
Second Line	:	SUITE 3-B
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4864
Country	:	US
Telephone Number	:	772-465-8089
Fax Number	:	772-465-8091

Provider Business Practice Location Address
First Line	:	2215 NEBRASKA AVE
Second Line	:	SUITE 3-B
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4864
Country	:	US
Telephone Number	:	772-465-8089
Fax Number	:	772-465-8091

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	03/16/2015

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Directions to “ DR. RAHEEL AHMED MD” Practice Location

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