Ahmad, Imtiaz
Ahmad, Imtiaz is an individual health care provider with primary practice located at 16420 Healthpark Commons Dr Suite 100, Fort Myers FL 33908-9621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ahmad, Imtiaz can be contacted via phone (239) 437-6670.Contact Information
Primary practice address
16420 Healthpark Commons Dr Suite 100
Fort Myers FL 33908-9621
Phone: (239) 437-6670
Fax: (239) 437-8871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | V0672 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | V0672 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | V0672 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | ME76783 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME76783 | Florida |
Profile Details
| NPI number | 1174521009 |
|---|---|
| LBN Legal business name | Ahmad, Imtiaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | May 15th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174521009 | NPPES |
| Florida | Other | 307272 | AVMED |
| Florida | Other | 264114 | AVMED |
| Florida | Other | P930339 | AVMED |
| Florida | Other | 264114 | AVMED |
| Florida | MEDICAID | 2705354-00 | AVMED |
| Florida | Other | P01266913 | AVMED |
| Florida | Other | 42972 | AVMED |
| Florida | Other | ASLC2013 | AVMED |
| Florida | Other | 7809584 | AVMED |
| Florida | Other | 2066082 | AVMED |
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