Provider Demographics
NPI:1710611249
Name:INFECTIOUS DISEASE SOLUTIONS
Entity Type:Organization
Organization Name:INFECTIOUS DISEASE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:K
Authorized Official - Last Name:MOHMAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-266-0748
Mailing Address - Street 1:17942 CACHET ISLE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2702
Mailing Address - Country:US
Mailing Address - Phone:727-266-0748
Mailing Address - Fax:
Practice Address - Street 1:17942 CACHET ISLE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2702
Practice Address - Country:US
Practice Address - Phone:727-266-0748
Practice Address - Fax:813-291-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty