Ahmadi, Anis A.

Ahmadi, Anis A. is an individual health care provider with primary practice located at 216 Southpark Cir E , Saint Augustine FL 32086-5135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Ahmadi, Anis A. can be contacted via phone (904) 824-6108.

Contact Information

Primary practice address
216 Southpark Cir E Saint Augustine FL 32086-5135
Phone: (904) 824-6108
Fax: (904) 823-9613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME102708 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME102708 Florida

Profile Details

NPI number 1932270832
LBN Legal business name Ahmadi, Anis A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jun 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932270832 NPPES
Florida MEDICAID 000732600

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