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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AHMAD KASRAEIAN, M.D.

Deactivated

AHMAD KASRAEIAN, M.D. is a Urology healthcare provider located in JACKSONVILLE, Florida. NPI 1659374320 is deactivated in the NPPES registry. Verify at CMS.

Urology · JACKSONVILLE, FL

This NPI has been deactivated. The record was deactivated on March 23, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1659374320
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2005 (0.83013698630137 yrs)
Last Updated
Aug 2, 2012
Deactivated
Mar 23, 2006
License
FLME 0029693 (FL)

Practice Information

Address
6269 BEACH BLVD
STE 2
JACKSONVILLE, FL, 322162705
Browse FL providers · Browse ZIP 32216
Phone
9047277955
Fax
9047277976
Primary Specialty
Urology
208800000X

Other Urology Providers in JACKSONVILLE, FL

Name Credential NPI
JULIO GUNDIAN MD 1831185610
GREGORY BRODERICK MD 1093705899
TODD IGEL MD 1710977517
DR. MICHAEL JAMES WEHLE M.D. 1427048222
RAYMOND PAK MD 1508840471
DAVID THIEL MD 1326022294
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.