Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME118440 | FL |
N | 2080P0214X | Pediatric Pulmonologist | 202564-1 | NY |
NPI | 1184614992 |
---|---|
Provider Name | Dr. Mohammed Kaashmiri |
First Address | Windermere, FL 34786-5684 |
Second Address | Orlando, FL 32839-3716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 09/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
013080800 | (05) | FL |
01833614 | (05) | NY |
G14305 | (02) | NY |