MEDICARE: DR. MARIAM ADAM ESAT 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	207RI0200X	Infectious Disease Physician	ME88164	FL
2	207R00000X	Internal Medicine Physician	ME88164	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	:	1982681185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIAM ADAM ESAT MD

Provider Business Mailing Address
First Line	:	4156 BROOKMYRA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-5109
Country	:	US
Telephone Number	:	407-350-5917
Fax Number	:	407-350-5928

Provider Business Practice Location Address
First Line	:	1182 CYPRESS GLEN CIRCLE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4989
Country	:	US
Telephone Number	:	407-350-5917
Fax Number	:	407-350-5928

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	01/20/2015

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