Ajaz, Bushra

Ajaz, Bushra is an individual health care provider with primary practice located at 2776 Enterprise Rd # 100 , Orange City FL 32763-8316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Ajaz, Bushra can be contacted via phone (386) 774-1223.

Contact Information

Primary practice address
2776 Enterprise Rd # 100 Orange City FL 32763-8316
Phone: (386) 774-1223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 118747 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TRN16263 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME118747 Florida

Profile Details

NPI number 1063750933
LBN Legal business name Ajaz, Bushra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2013
Last updated Dec 14th, 2017 - about 7 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 1063750933 NPPES
Florida MEDICAID 016833300
Florida Other ME118747

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