Dr IMTIAZ AHMAD MD is a male medical professional, specializing in Pulmonary Disease. He graduated in 1989.
21ST CENTURY ONCOLOGY, LLC
3680 BROADWAY
FORT MYERS
FL
339018005
Tel: 2399360380
| Npi | 1174521009 |
| Pac Id | 0244217339 |
| Professional Enrollment Id | I20040707000229 |
| Last Name | AHMAD |
| First Name | IMTIAZ |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1989 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Group Practice Pac Id | 9830082882 |
| Number Of Group Practice Members | 302 |
| Line 1 Street Address | 3680 BROADWAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FORT MYERS |
| State | FL |
| Zip Code | 339018005 |
| Phone Number | 2399360380 |
| Hospital Affiliation Ccn 1 | 100220 |
| Hospital Affiliation Lbn 1 | GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM |
| Hospital Affiliation Ccn 2 | 100012 |
| Hospital Affiliation Lbn 2 | LEE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 100244 |
| Hospital Affiliation Lbn 3 | CAPE CORAL HOSPITAL - 100244 |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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