MEDICARE: NAEEM Z 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME103837	FL
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME103837	FL
3	207RP1001X	Pulmonary Disease Physician	ME103837	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

General Provider Information

NPI Number	:	1942252317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAEEM Z AHMED MD

Provider Business Mailing Address
First Line	:	2400 NORTH BLVD W STE 1
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-8980
Country	:	US
Telephone Number	:	863-421-5864
Fax Number	:	863-419-0025

Provider Business Practice Location Address
First Line	:	2400 NORTH BLVD W STE 1
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-8980
Country	:	US
Telephone Number	:	863-421-5864
Fax Number	:	863-419-0025

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/04/2024

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Directions to “ NAEEM Z AHMED MD” Practice Location

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