| Prime Hospitalist Group Pa | |
|
9151 Point Cypress Dr Orlando FL 32836-5478 | |
| (407) 909-0427 | |
| (407) 909-1472 |
| Full Name | Prime Hospitalist Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9151 Point Cypress Dr, Orlando, Florida |
| Authorized Official Name and Position | Aamera Ahmed (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4079090427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Hospitalist Group Pa Po Box 690818 Orlando FL 32869-0818 Ph: (407) 909-0427 | Prime Hospitalist Group Pa 9151 Point Cypress Dr Orlando FL 32836-5478 Ph: (407) 909-0427 |
| NPI Number | 1730230954 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 11/20/2014 |
| Medicare PECOS PAC ID | 5698859114 |
|---|---|
| Medicare Enrollment ID | O20080222000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730230954 | NPI | - | NPPES |
| 261530400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME81061 (Florida) | Primary |
| Provider Name | Rajeev Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447202288 PECOS PAC ID: 7012997117 Enrollment ID: I20040721000096 |
| Provider Name | Shaik Ejazuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073501185 PECOS PAC ID: 0749243426 Enrollment ID: I20041104000827 |
| Provider Name | Aamera N Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316098510 PECOS PAC ID: 3870532419 Enrollment ID: I20050503000374 |
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