Provider Demographics
NPI:1184614992
Name:KAASHMIRI, MOHAMMED WAHEED (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:WAHEED
Last Name:KAASHMIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11744 VINCI DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5684
Mailing Address - Country:US
Mailing Address - Phone:315-269-6393
Mailing Address - Fax:
Practice Address - Street 1:5900 S JOHN YOUNG PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-3716
Practice Address - Country:US
Practice Address - Phone:497-434-8171
Practice Address - Fax:407-506-0003
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202564-12080P0214X
FLME118440208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013080800Medicaid
NY01833614Medicaid
NYG14305Medicare UPIN
NY01833614Medicaid