ASHFAQ KUDIA M.D. P.A. NPI 1265675219

NPI Information

  • NPI: 1265675219
  • Provider Name: ASHFAQ KUDIA, M.D., P.A.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1301 PLANTATION ISLAND DR S STE 302A
    SAINT AUGUSTINE, FL
    ZIP 32080
  • Phone: (904) 461-9330

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NPI Details

ASHFAQ KUDIA, M.D., P.A. is a primary care clinic center in Saint Augustine, FL. ASHFAQ KUDIA, M.D., P.A. NPI is 1265675219. The provider is registered as an organization entity type.

The provider's business location address is:

1301 PLANTATION ISLAND DR S STE 302A
SAINT AUGUSTINE, FL
ZIP 32080-117
Phone: (904) 461-9330
Fax: (904) 461-9331

The provider's authorized official is Furrin Kudia .
The authorized official title is Office Manager and has the following contact phone number (904) 461-9330.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 12/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME0068850FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1379026600MEDICAIDFLORIDA
228138OTHERFLORIDABC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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