| Ahmed Elbanna, DO | |
| 
					2884 Wellness Ave, Ste 100, Orange City, FL 32763  | |
| (386) 668-2221 | |
| (386) 668-2228 | 
| Full Name | Ahmed Elbanna | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 2884 Wellness Ave, Ste 100, Orange City, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003279761 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101022515 (Michigan) | Secondary | 
| 207RG0100X | Internal Medicine - Gastroenterology | OS20018 (Florida) | Primary | 
| Entity Name | Henry Ford Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ahmed Elbanna, DO 2884 Wellness Ave, Ste 100, Orange City, FL 32763 Ph: (386) 668-2221  | Ahmed Elbanna, DO 2884 Wellness Ave, Ste 100, Orange City, FL 32763 Ph: (386) 668-2221  | 
Dr. Syed Bilal Ahmed, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2555 S Volusia Ave, Orange City, FL 32763 Phone: 386-774-0401 Fax: 386-774-5783  | |
Janak Hirabhai Bhavsar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 938 Saxon Blvd Ste 101-c, Orange City, FL 32763 Phone: 386-774-5485 Fax: 386-775-0761  | |
Dr. Rohan K Desai, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2877 Wellness Ave, Orange City, FL 32763 Phone: 386-668-4650 Fax: 386-668-4649  | |
Katherine Alexandra Smith,  Gastroenterology Medicare: Medicare Enrolled Practice Location: 1075 Town Center Dr, Orange City, FL 32763 Phone: 386-917-0333  | |
Dr. Bushra Ajaz, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2776 Enterprise Rd # 100, Orange City, FL 32763 Phone: 386-774-1223  | |
Dr. Saad M Khan, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2541 S Volusia Ave Ste 300, Orange City, FL 32763 Phone: 386-218-6893 Fax: 386-218-6895  |