| Tahsina Y. Atiquzzaman, M.d. | |
|
505 W Oak St Suite 202 Kissimmee FL 34741-4986 | |
| (407) 846-6331 | |
| (407) 846-0137 |
| Full Name | Tahsina Y. Atiquzzaman, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 W Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Tahsina Y Atiquzzaman (OWNER/PROVIDER) |
| Authorized Official Contact | 4078466331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahsina Y. Atiquzzaman, M.d. 505 W Oak St Suite 202 Kissimmee FL 34741-4986 Ph: (407) 846-6331 | Tahsina Y. Atiquzzaman, M.d. 505 W Oak St Suite 202 Kissimmee FL 34741-4986 Ph: (407) 846-6331 |
| NPI Number | 1477525319 |
|---|---|
| Provider Enumeration Date | 02/05/2006 |
| Last Update Date | 04/28/2008 |
| Medicare PECOS PAC ID | 5799796272 |
|---|---|
| Medicare Enrollment ID | O20060515000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477525319 | NPI | - | NPPES |
| 274425200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME93396 (Florida) | Primary |
| Provider Name | Tahsina Y Atiquzzaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730167263 PECOS PAC ID: 2062436371 Enrollment ID: I20060125000251 |
| Provider Name | Basher Atiquzzaman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033159819 PECOS PAC ID: 1658388079 Enrollment ID: I20060309000522 |
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