Provider Demographics
NPI:1689617698
Name:GEORGE, AJU (MD)
Entity Type:Individual
Prefix:
First Name:AJU
Middle Name:
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3307 KING GEORGE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5903
Mailing Address - Country:US
Mailing Address - Phone:407-902-8186
Mailing Address - Fax:407-264-8895
Practice Address - Street 1:5694 WINDHOVER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7935
Practice Address - Country:US
Practice Address - Phone:407-226-3335
Practice Address - Fax:855-832-0379
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME93445207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI41211Medicare UPIN