M.Atiq Hessami,M.D.,P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

P02000071278 Issued in FL

Legal business name

M.ATIQ HESSAMI,M.D.,P.A.

Practice address

33425 E Lake Joanna Dr
Eustis, FL 32736-7249

Phone

(352) 223-5244

NPI assigned

May 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Miratiqullah Hessami, M.D.NPI 1629077573

Title

President

Phone

(352) 223-5244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miratiqullah Hessami, MD

  • Internal Medicine Physician
  • Eustis, FL
  • NPI 1629077573
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1033438759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33425 E LAKE JOANNA DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327367249",
            "telephone_number": "352-223-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33425 E LAKE JOANNA DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327367249",
            "telephone_number": "352-223-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.ATIQ HESSAMI,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "HESSAMI",
        "authorized_official_first_name": "MIRATIQULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-223-5244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "P02000071278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Eustis, FL
• Providers in Eustis, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.