Provider Demographics
NPI:1417099664
Name:AGHA, ILDIKO SOLTESZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ILDIKO
Middle Name:SOLTESZ
Last Name:AGHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 SUNSET DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4529
Mailing Address - Country:US
Mailing Address - Phone:305-666-3589
Mailing Address - Fax:305-663-1015
Practice Address - Street 1:6701 SUNSET DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4529
Practice Address - Country:US
Practice Address - Phone:305-666-3589
Practice Address - Fax:305-663-1015
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME15494174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist