Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD428517 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | ME126577 | FL |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 25MA08278500 | NJ |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME126577 | FL |
NPI | 1184849739 |
---|---|
Provider Name | Dr. Safi Uddin Ahmed |
First Address | Seffner, FL 33584-5019 |
Second Address | Sebring, FL 33872-2176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 01/10/2020 |