Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ejaz Ahmed, MD

Individual provider Family Medicine Physician · NPI 1003841081

Ejaz Ahmed, MD is a Family Practice in Daytona Beach, Florida. Qualified in 1994, 32 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
32
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

405 N Clyde Morris Blvd
Daytona Beach, FL 32114-2730
Phone: (386) 506-8555
Fax: (386) 944-9944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME95557 (FL)

Record details

NPI number1003841081
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021
Mailing address405 N Clyde Morris Blvd, Daytona Beach, FL 32114-2730

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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