MEDICARE: AMIR QUEFATIEH 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME106326	FL
2	207RP1001X	Pulmonary Disease Physician	ME106326	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	718253510224	OTHER	DE	BCBS
3	2985524	OTHER	DE	AETNA
4	2341251	OTHER	DE	CIGNA
5	183577	OTHER	DE	COVENTRY
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801831755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIR QUEFATIEH MD

Provider Business Mailing Address
First Line	:	6719 GALL BLVD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2571
Country	:	US
Telephone Number	:	813-782-7318
Fax Number	:	813-788-5067

Provider Business Practice Location Address
First Line	:	6719 GALL BLVD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2571
Country	:	US
Telephone Number	:	813-782-7318
Fax Number	:	813-788-5067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	03/01/2022

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Directions to “ AMIR QUEFATIEH MD” Practice Location

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