Iftikhar Ahmad M.D P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IFTIKHAR AHMAD M.D P.A.

Practice address

520 Zeagler Dr
Palatka, FL 32177-3813

Phone

(386) 325-7584

Fax

(386) 325-1221

NPI assigned

Feb 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. Iftikhar Ahmad, M.D.

Title

President

Phone

(386) 325-7584

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1922320803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773813",
            "telephone_number": "386-325-7584",
            "fax_number": "386-325-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773813",
            "telephone_number": "386-325-7584",
            "fax_number": "386-325-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFTIKHAR AHMAD M.D P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-325-7584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051484500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD FLORIDA",
            "identifier": "54034",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wren Humphrey
• Hussein Zabad MD PA
• Hynes Internal Medicine LLC
• Bridgett Hynes, APRN
• Hyperbaric Health Services - Palatka LLC
• Syed Fahmeed Imam, MD
• Individualized Medicine, LLC
• Infectious Diseases & Tropical Medicine PA
• Juanita R. Ingram
• Integrated Community Oncology Network LLC

• Internal Medicine Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.