| Basher M. Atiquzzaman | |
|
505 W Oak St Suite 202 Kissimmee FL 34741-4986 | |
| (407) 846-6331 | |
| (407) 846-0137 |
| Full Name | Basher M. Atiquzzaman |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 505 W Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Basher M Atiquzzaman (OWNER) |
| Authorized Official Contact | 4078466331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basher M. Atiquzzaman 505 W Oak St Suite 202 Kissimmee FL 34741-4986 Ph: (407) 846-6331 | Basher M. Atiquzzaman 505 W Oak St Suite 202 Kissimmee FL 34741-4986 Ph: (407) 846-6331 |
| NPI Number | 1851604797 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 07/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851604797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME89652 (Florida) | Primary |
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