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NPI Code Detail

MEDICARE: SYED EGBAL AHMED M.D.

MEDICARE: SYED EGBAL 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
1207RX0202XMedical Oncology PhysicianME80993FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00838030OTHERFLRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1700880697
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYED EGBAL AHMED M.D.
Provider Business Mailing Address
First Line : 4420 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2164
Country : US
Telephone Number : 863-385-1244
Fax Number : 863-385-6086
Provider Business Practice Location Address
First Line : 1396 WHISPER CIR
Second Line :
City : SEBRING
State : FL
Zip : 33870-1204
Country : US
Telephone Number : 863-385-1244
Fax Number : 863-385-6086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 10/29/2021

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