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Organization
STARMD
Active
Organization
STARMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMER ISHTIAQ MD (OWNER)
(903) 280-6738
Entity
Organization
Contact information
Practice address
4701 14TH ST APT 3102, PLANO, TX 75074-7330
(347) 553-5056
Mailing address
4701 14TH ST APT 3102, PLANO, TX 75074-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/16/2025
Last updated
03/03/2025
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