| Rayyan Neurological Association Llc | |
|
10022 Crystalline Ct Orlando FL 32836-6024 | |
| (646) 431-6976 | |
| Not Available |
| Full Name | Rayyan Neurological Association Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10022 Crystalline Ct, Orlando, Florida |
| Authorized Official Name and Position | Shafiuddin Ahmed (NEUROLOGIST) |
| Authorized Official Contact | 6464316976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rayyan Neurological Association Llc 10022 Crystalline Ct Orlando FL 32836-6024 Ph: (646) 431-6976 | Rayyan Neurological Association Llc 10022 Crystalline Ct Orlando FL 32836-6024 Ph: (646) 431-6976 |
| NPI Number | 1164995528 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/14/2019 |
| Medicare PECOS PAC ID | 8628319928 |
|---|---|
| Medicare Enrollment ID | O20190415002934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164995528 | NPI | - | NPPES |
| 009273800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Shafiuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962666941 PECOS PAC ID: 3779775366 Enrollment ID: I20130830000703 |
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