Abdul Quyyum Ahmed, MD
Family Medicine in Lake Mary, FL. Individual provider (NPI-1).
NPI number1336376086
StatusActive
Last updated in NPPESSep 5, 2024
Details
- NPI
- 1336376086
- Entity type
- Individual (NPI-1)
- Name
- Abdul Quyyum Ahmed
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2009
- Certification date
- Sep 5, 2024
- Last updated
- Sep 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME121657 | FL | Yes |
| 207Q00000X | Family Medicine | 44333 | KY |
Practice location
2605 W Lake Mary BlvdSuite 119
Lake Mary, FL 32746-3568
Phone 407-878-7990
Mailing address
2605 W Lake Mary BlvdSuite 119
Lake Mary, FL 32746-3568
Phone 407-878-7990
Other practice locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Daytona Beach, FL 32114-2709
Phone 386-425-4542 · Fax 386-425-7705
200 Abraham Flexner Way
Louisville, KY 40202-2877
Louisville, KY 40202-2877
Phone 502-569-7983
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