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NPI Code Detail

MEDICARE: DR. ALA T AHMAD M.D.

MEDICARE: DR. ALA T AHMAD 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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianME120339FL
2207RP1001XPulmonary Disease PhysicianME120339FL

Other Identifiers

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

General Provider Information

NPI Number : 1356669196
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALA T AHMAD M.D.
Provider Business Mailing Address
First Line : 2639 DR M L KING JR. STREET NORTH
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-2733
Country : US
Telephone Number : 727-822-6661
Fax Number : 727-823-1334
Provider Business Practice Location Address
First Line : 2639 DR ML KING JR ST N
Second Line : COASTAL PULMONARY AND CRITICAL CARE, P.L.C
City : ST PETERSBURG
State : FL
Zip : 33704-2733
Country : US
Telephone Number : 727-822-6661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2010
Last Update Date : 12/22/2016

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Directions to “ DR. ALA T AHMAD M.D.” Practice Location

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