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NPI Code Detail

MEDICARE: DR. IRFAN AHMED MD

MEDICARE: DR. IRFAN 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
1207R00000XInternal Medicine PhysicianL7637TX
22085R0001XRadiation Oncology PhysicianME99312FL

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 : 1548222490
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRFAN AHMED MD
Provider Business Mailing Address
First Line : 60 MEMORIAL MEDICAL PKWY STE I-700
Second Line :
City : PALM COAST
State : FL
Zip : 32164-5980
Country : US
Telephone Number : 386-586-2060
Fax Number : 386-586-4659
Provider Business Practice Location Address
First Line : 60 MEMORIAL MEDICAL PKWY STE I-700
Second Line :
City : PALM COAST
State : FL
Zip : 32164-5980
Country : US
Telephone Number : 386-586-2060
Fax Number : 386-586-4659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 04/23/2024

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