Dr. Bushra Ajaz
Internist Hematology & Oncology
2776 Enterprise Rd # 100
Orange City
, Florida 32763-8316
Dr. Bushra Ajaz
Internist Hematology & Oncology
2776 Enterprise Rd # 100
Orange City
, Florida 32763-8316
(386) 774-1223
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About
Features
Specialties
- Internist
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Bushra Ajaz
- 2776 Enterprise Rd # 100
- Orange City, FL
- Zip : 32763-8316
- Phone : (386) 774-1223
Second Address
- Dr. Bushra Ajaz
- 2776 Enterprise Rd # 100
- Orange City, FL
- Zip : 32763-8316
- Phone : (386) 774-1223
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | ME 118747 | FL |
| N | 111NI0900X | Internist | ME 118747 | FL |
| N | 207R00000X | Internist | TRN16263 | FL |
| N | 111NI0900X | Internist | TRN16263 | FL |
| Y | 207RH0003X | Hematology & Oncology | ME118747 | FL |
National Provider Identifier
| NPI | 1063750933 |
|---|---|
| Provider Name | Dr. Bushra Ajaz |
| First Address | Orange City, FL 32763-8316 |
| Second Address | Orange City, FL 32763-8316 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2013 |
| Last Update Date | 14/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016833300 | (05) | FL |
| ME118747 | MEDICAL LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.