Individual provider · NPI-1

Rizwan Ahamed, MD

Internal Medicine · Jacksonville, FL

NPI number1205210341
StatusActive
Last updated in NPPESMar 14, 2025

Details

NPI
1205210341
Entity type
Individual (NPI-1)
Name
Rizwan Ahamed
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2015
Certification date
Mar 14, 2025
Last updated
Mar 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME153562FLYes
207R00000X Internal Medicine4301117494MI
208M00000X HospitalistME153562FL
208M00000X Hospitalist036154247IL

Practice location

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205

Phone 904-202-3860 · Fax 904-202-3846

Mailing address

Po Box 746638
Atlanta, GA 30374-6638

Phone 904-202-1032 · Fax 904-376-4107

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