Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 231119 | MA |
N | 111NI0900X | Internist | 231119 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME112224 | FL |
N | 207U00000X | Nuclear Medicine Specialist | ME112224 | FL |
NPI | 1235358557 |
---|---|
Provider Name | Kamran Akram |
First Address | Orlando, FL 32819-8000 |
Second Address | Orlando, FL 32806-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 03/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005521300 | (05) | FL |
ME112224 | MEDICAL LICENSE (01) | FL |