Active NPIIndividual providerSole proprietor

Affan Mohiuddin, PA-C

Physician Assistant in Orlando, Florida

NPI Number1912498130
Practice location
8132 Lee Vista Blvd Ste 102, Orlando, FL 32829-8367
Fax
407-988-1922
Last updated
September 21, 2020

Affan Mohiuddin is a Physician Assistant based in Orlando, FL. Affan Mohiuddin practices in Orlando, FL and has the professional credentials of PA-C. The NPI Number for Affan Mohiuddin is 1912498130 and holds a License No. 4137 (CT). The current practice location address for Affan Mohiuddin is 8132 Lee Vista Blvd Ste 102, Orlando, FL 32829-8367 and can be reached out via phone at 407-807-6522 and via fax at 407-988-1922.

Provider Profile Details

NPI Number
1912498130
Provider Name
Affan Mohiuddin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8132 Lee Vista Blvd Ste 102, Orlando, FL 32829-8367
Phone Number
407-807-6522
Fax Number
407-988-1922
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2018
Last Update Date
September 21, 2020
Certification Date
September 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
8132 Lee Vista Blvd Ste 102
Orlando, FL 32829-8367
State
Florida
Zip
32829-8367
Phone Number
407-807-6522
Fax Number
407-988-1922
Orlando, FL 32829Get directions →

Provider Business Mailing Address Details

Address
12830 Woodbury Glen Dr
Orlando, FL 32828-5925
City
Orlando
State
FL
Zip
32828-5925
Phone Number
407-923-1069

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
4137
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
PA9113282
License State (3)
FL
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Affan Mohiuddin, PA-C?

The NPI number of Affan Mohiuddin, PA-C is 1912498130. It was assigned on May 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Affan Mohiuddin, PA-C?

Affan Mohiuddin, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 4137.

Where does Affan Mohiuddin, PA-C practice?

The practice location is 8132 Lee Vista Blvd Ste 102, Orlando, FL 32829-8367. The office can be reached at 407-807-6522 (phone) or 407-988-1922 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912498130 directly on the NPPES registry website.

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