Provider Demographics
NPI:1598866717
Name:AHMED KHURSHID, UZMA (MD)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:AHMED KHURSHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:UZMA
Other - Middle Name:
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2574 S VOLUSIA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-9123
Mailing Address - Country:US
Mailing Address - Phone:386-775-1086
Mailing Address - Fax:386-775-8990
Practice Address - Street 1:2574 S VOLUSIA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-9123
Practice Address - Country:US
Practice Address - Phone:386-775-1086
Practice Address - Fax:386-775-8990
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBN873ZMedicare PIN
FLBN873YMedicare PIN