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General NPI Number Information
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NPI Number | 1316491079
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Entity Type | Organization
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Legal Business Name | ULTIMED HEALTH, LLC
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 7700 MASSACHUSETTS AVE
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-3024
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Country | US
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Telephone | 727-848-2273
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Fax | 727-849-6337
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Provider Business Mailing Address
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Address Line | 7700 MASSACHUSETTS AVE
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-3024
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Country | US
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Telephone | 727-848-2273
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Fax | 727-849-6337
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARAIN MOHAMMAD NAWAZ
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Credential | MD
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Telephone | 727-848-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 124365
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License Number State | NY
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