Provider Demographics
NPI:1700227337
Name:ISHRAT SOHAIL MD PA
Entity Type:Organization
Organization Name:ISHRAT SOHAIL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ISHRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-894-7880
Mailing Address - Street 1:2702 N ORANGE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4667
Mailing Address - Country:US
Mailing Address - Phone:407-894-7880
Mailing Address - Fax:407-894-7882
Practice Address - Street 1:2702 N ORANGE AVE STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4667
Practice Address - Country:US
Practice Address - Phone:407-894-7880
Practice Address - Fax:407-894-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME034999251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL065562701Medicaid
FL208000000XOtherTAXONOMY