Azmath, Misbah Fathima
Azmath, Misbah Fathima is an individual health care provider with primary practice located at 1111 W Fairbanks Ave Ste 110 , Winter Park FL 32789-4777. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Azmath, Misbah Fathima can be contacted via phone (321) 841-4371.Contact Information
Primary practice address
1111 W Fairbanks Ave Ste 110
Winter Park FL 32789-4777
Phone: (321) 841-4371
Fax: (407) 936-3866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME165638 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 072504 | Connecticut |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 072504 | Connecticut |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1346771623 |
|---|---|
| LBN Legal business name | Azmath, Misbah Fathima |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2017 |
| Last updated | Dec 21st, 2023 - about last year |
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 | 1346771623 | NPPES |
| Florida | MEDICAID | 120527100 |
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