NPI 1053318592

Ebrahim Papan, MD

Practitioner Internal Medicine Physician Port Charlotte, FL

Practice location

Address: 2450 Tamiami Trl STE a, Port Charlotte, FL 33952-3922
Phone: (941) 624-2704
Fax: (941) 627-6066
Mailing address: 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence ME0074844 (FL)

Other Internal Medicine providers in Florida →

Registry record

NPI: 1053318592
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2005
Record last updated: 16 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.