Provider Demographics
NPI:1023329992
Name:AHIABLE, LILIAN ENYONAM (MD)
Entity type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:ENYONAM
Last Name:AHIABLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LILIAN
Other - Middle Name:ENYONAM
Other - Last Name:AHEDOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:25941 US HIGHWAY 19 N UNIT 14808
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33766-7025
Mailing Address - Country:US
Mailing Address - Phone:312-339-8449
Mailing Address - Fax:727-321-2680
Practice Address - Street 1:7111 1ST AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1223
Practice Address - Country:US
Practice Address - Phone:727-300-2282
Practice Address - Fax:727-321-2680
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME135378207RC0000X
IL036130762207R00000X
PAMD460573207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine