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NPI Code Detail

MEDICARE: ANWAR AHMED M.D.

MEDICARE: ANWAR 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
12084N0400XNeurology Physician33379AZ
22084N0400XNeurology PhysicianME143779FL

Other Identifiers

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

General Provider Information

NPI Number : 1063528735
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANWAR AHMED M.D.
Provider Business Mailing Address
First Line : 200 N LAKEMONT AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-3273
Country : US
Telephone Number : 407-303-6729
Fax Number : 407-628-2037
Provider Business Practice Location Address
First Line : 200 N LAKEMONT AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-3273
Country : US
Telephone Number : 407-303-6729
Fax Number : 407-628-2037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 06/25/2020

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