Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TRN18580 | FL |
N | 111NI0900X | Internist | TRN18580 | FL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME140287 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME140287 | FL |
NPI | 1962842591 |
---|---|
Provider Name | Dr. Mohammad Ahmad Zaki Al-Ani |
First Address | Gainesville, FL 32610-0277 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
106794100 | (05) | FL |