Provider Demographics
NPI:1255397857
Name:AHMED, ZAKIUDDIN (MD)
Entity type:Individual
Prefix:MR
First Name:ZAKIUDDIN
Middle Name:
Last Name:AHMED
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 1:7420 COMMUNITY COURT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667
Mailing Address - Country:US
Mailing Address - Phone:727-869-8216
Mailing Address - Fax:727-869-8122
Practice Address - Street 1:7420 COMMUNITY COURT
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667
Practice Address - Country:US
Practice Address - Phone:727-869-8216
Practice Address - Fax:727-869-8122
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL80528207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
05542OtherUNIVERSAL
0404228OtherUNITED HEALTHCARE
187718OtherWELLCARE
282545OtherAVMED
03156OtherBCBS HEALTH OPTIONS
22460OtherAMERIGROUP
14474OtherALL FL PPO
05542OtherUNIVERSAL
F45844Medicare UPIN