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NPI Code Detail

MEDICARE: DR. AMNA IMRAN MD

MEDICARE: DR. AMNA IMRAN 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
12084N0400XNeurology PhysicianME157403FL

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 : 1790281103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMNA IMRAN MD
Provider Business Mailing Address
First Line : 6103 MARBELLA BLVD
Second Line :
City : APOLLO BEACH
State : FL
Zip : 33572-2903
Country : US
Telephone Number : 954-235-1399
Fax Number :
Provider Business Practice Location Address
First Line : 3000 MEDICAL PARK DR STE 510
Second Line :
City : TAMPA
State : FL
Zip : 33613-6602
Country : US
Telephone Number : 813-615-7725
Fax Number : 813-615-7082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2018
Last Update Date : 10/10/2023

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