NPIMap

Organization Active NPI

Orlando Infectious Disease Consultancy Services PL

  • Infectious Disease Physician
  • Kissimmee, FL
National Provider Identifier
1063671089
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME88164 Issued in FL
Legal business name
ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES PL
Practice address
720 W Oak St
Kissimmee, FL 34741-4989
Phone
(407) 350-5719
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mr. Riaz Khattack
Title
Owner
Phone
(407) 350-5917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME88164 FL Primary

Addresses

Primary practice location

720 W Oak St
Kissimmee, FL 34741-4989

Mailing address

4156 Brookmyra Dr
Orlando, FL 32837-5109
Phone (407) 350-5917

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1063671089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 BROOKMYRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375109",
            "telephone_number": "407-350-5917",
            "fax_number": "407-350-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414989",
            "telephone_number": "407-350-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "KHATTACK",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-350-5917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME88164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.