Provider Demographics
NPI:1285628388
Name:HAMEED, AJMAL (MD)
Entity Type:Individual
Prefix:DR
First Name:AJMAL
Middle Name:
Last Name:HAMEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2151 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4416
Mailing Address - Country:US
Mailing Address - Phone:904-388-8686
Mailing Address - Fax:904-387-2659
Practice Address - Street 1:3627 UNIVERSITY BLVD S
Practice Address - Street 2:STE 430
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4230
Practice Address - Country:US
Practice Address - Phone:904-858-9700
Practice Address - Fax:904-858-9977
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0085621207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology