Barakzoy, Ahmad Shah

Barakzoy, Ahmad Shah is an sole proprietor health care provider with primary practice located at 2035 Professional Center Dr Ste A , Orange Park FL 32073-4462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Barakzoy, Ahmad Shah can be contacted via phone (904) 579-3578.

Contact Information

Primary practice address
2035 Professional Center Dr Ste A Orange Park FL 32073-4462
Phone: (904) 579-3578
Fax: (904) 375-8568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME94217 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME94217 Florida

Profile Details

NPI number 1245335470
LBN Legal business name Barakzoy, Ahmad Shah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Oct 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245335470 NPPES
Florida MEDICAID 273911900

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