Ahmed, Ejaz
Ahmed, Ejaz is an sole proprietor health care provider with primary practice located at 405 N Clyde Morris Blvd , Daytona Beach FL 32114-2730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ahmed, Ejaz can be contacted via phone (386) 506-8555.Contact Information
Primary practice address
405 N Clyde Morris Blvd
Daytona Beach FL 32114-2730
Phone: (386) 506-8555
Fax: (386) 944-9944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME95557 | Florida |
Profile Details
| NPI number | 1003841081 |
|---|---|
| LBN Legal business name | Ahmed, Ejaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 22nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003841081 | NPPES |
| Florida | MEDICAID | 020641400 |
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