Provider Demographics
NPI:1184849739
Name:AHMED, SAFI UDDIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAFI
Middle Name:UDDIN
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 MONTARA DR
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-5019
Mailing Address - Country:US
Mailing Address - Phone:609-224-3634
Mailing Address - Fax:863-271-4222
Practice Address - Street 1:4638 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2176
Practice Address - Country:US
Practice Address - Phone:863-386-0055
Practice Address - Fax:863-386-0118
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126577207RC0000X, 207RC0000X, 207RC0001X
PAMD428517207RC0000X
NJ25MA08278500207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1184849739CN9Medicare PIN
NJ125546CN9Medicare PIN