Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME111409 | FL |
NPI | 1073789335 |
---|---|
Provider Name | Amir A Ahmadian |
First Address | Wesley Chapel, FL 33544-9206 |
Second Address | Wesley Chapel, FL 33543-5453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 09/12/2017 |