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DR. ANEESA BATOOL AHMAD M.D.,PA
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1164410866
Individual Registrant:DR. ANEESA BATOOL AHMAD M.D.,PA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
608 MAITLAND AVE ALTAMONTE SPRINGS, FL 32701-6834 US
Tel: 407-331-5437 Fax: 407-622-7639
Tel: 407-331-5437 Fax: 407-622-7639
Contact information for business:
608 MAITLAND AVE ALTAMONTE SPRINGS, FL 32701-6834 US
Tel: 407-331-5437 Fax: 407-622-7639
Tel: 407-331-5437 Fax: 407-622-7639
Registration Information:
NPI: 1164410866
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | FL | ME0037194 |
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | FL | 37194 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CIGNA PAL NUMBER | 1725955002 | FL | 01 |
| FHHS PROVIDER NUMBER | D85768 | FL | 01 |
| AETNA PROVIDER NUMBER | 069285 | FL | 01 |
| 065310100 | FL | 05 | |
| BLUE CROSS BLUE SHEILD | 47397 | FL | 01 |
| HUMANA PROVIDER NUMBER | 593140433 | FL | 01 |
