| Sadrunnisa Hameedi Md Pa | |
|
809 Deltona Blvd Ste A Deltona FL 32725-7103 | |
| (386) 574-9034 | |
| (386) 574-9095 |
| Full Name | Sadrunnisa Hameedi Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 809 Deltona Blvd Ste A, Deltona, Florida |
| Authorized Official Name and Position | Sadrunnisa Hameedi (OWNER) |
| Authorized Official Contact | 3865749034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sadrunnisa Hameedi Md Pa 809 Deltona Blvd Ste A Deltona FL 32725-7103 Ph: (386) 574-9034 | Sadrunnisa Hameedi Md Pa 809 Deltona Blvd Ste A Deltona FL 32725-7103 Ph: (386) 574-9034 |
| NPI Number | 1851662548 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 01/26/2012 |
| Medicare PECOS PAC ID | 6608037759 |
|---|---|
| Medicare Enrollment ID | O20120417000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851662548 | NPI | - | NPPES |
| 052279100 | Medicaid | FL | |
| 64510 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME042306 (Florida) | Primary |
| Provider Name | Sadrunnisa Hameedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154427474 PECOS PAC ID: 4688851587 Enrollment ID: I20110601000694 |
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Multicare Physicians Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 634 Deltona Blvd, Deltona, FL 32725 Phone: 386-574-5565 Fax: 386-574-8567 |