# MUSHTAQ AHMAD MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083778500
- **Authorized official:** DR. MUSHTAQ AHMAD MD (OWNER)
- **Authorized official phone:** (740) 387-4037

## Contact information

- **Practice address:** 1063 HARDING MEMORIAL PKWY, MARION, OH 43302-6365
- **Practice address phone:** (740) 387-4037
- **Mailing address:** PO BOX 435, MARION, OH 43301-0435
- **Mailing address phone:** (740) 387-4037
- **Mailing address fax:** (740) 382-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 88436 | OH | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 10/28/2010