Provider Demographics
NPI:1245029776
Name:EXCELLENCE IN MEDICINE AND INFECTIOUS DISEASES
Entity type:Organization
Organization Name:EXCELLENCE IN MEDICINE AND INFECTIOUS DISEASES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-535-8025
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:ARCHER
Mailing Address - State:FL
Mailing Address - Zip Code:32618-0031
Mailing Address - Country:US
Mailing Address - Phone:352-535-8025
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD FL 5
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-1135
Practice Address - Country:US
Practice Address - Phone:352-535-8025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty