Ahmed, Abdul Quyyum

Ahmed, Abdul Quyyum is an individual health care provider with primary practice located at 2605 W Lake Mary Blvd Suite 119, Lake Mary FL 32746-3568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ahmed, Abdul Quyyum can be contacted via phone (407) 878-7990.

Contact Information

Primary practice address
2605 W Lake Mary Blvd Suite 119 Lake Mary FL 32746-3568
Phone: (407) 878-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44333 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME121657 Florida

Profile Details

NPI number 1336376086
LBN Legal business name Ahmed, Abdul Quyyum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2009
Last updated Oct 31st, 2019 - about 6 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336376086 NPPES
Florida Other IM742Z MEDICARE PTAN

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