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Provider Information for 1730137118

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. BURHAAN AHMAD M.D.

Gender: MALE

Individual NPI: 1730137118

Calendar   Last Updated:  2016-10-19
  Certification Date: 

Details

Name Value
NPI 1730137118
Enumeration Date 2006-05-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3909 GALEN CT SUITE #102
SUN CITY CENTER, FL 33573-6824
United States

Phone: 813-634-5502 | Fax: 813-633-2702
View Map External Link
Primary Practice Address 3909 GALEN CT SUITE #102
SUN CITY CENTER, FL 33573-6824
United States

Phone: 813-634-5502 | Fax: 813-633-2702
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other CIGNA 1786500
MEDICAID FL 274960200
Other BC/BS FLORIDA FL 42029
Other UNITED HEALTHCARE/EVERCARE FL 0412712
Other BLUE SHIELD FL 42029
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME95541