Ibrahim H. Amjad, MD, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME 70663 Issued in FL

Legal business name

IBRAHIM H. AMJAD, MD, PA

Practice address

1100 SW 57TH Ave
Penthouse #1
West Miami, FL 33144-5122

Phone

(305) 267-8885

Fax

(305) 265-0142

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim Hosain Amjad, M.D.NPI 1477551455

Title

President

Phone

(305) 267-8885

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/c_GakPKBwGEp9LXRCx-dgLzSCTzRDPZ4/

Practitioners 1

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

• Ibrahim H Amjad, M.D.

  • Plastic Surgery Physician
  • West Miami, FL
  • NPI 1477551455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1821271982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558568",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332558568",
            "telephone_number": "305-267-8885",
            "fax_number": "305-265-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SW 57TH AVE",
            "address_2": "PENTHOUSE #1",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445122",
            "telephone_number": "305-267-8885",
            "fax_number": "305-265-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM H. AMJAD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "AMJAD",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "HOSAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-267-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 70663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264381200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in West Miami, FL
• Providers in West Miami, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.