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Organization
MIRZA N. AHMAD, M.D., INC.
Active
Organization
MIRZA N. AHMAD, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRZA N AHMAD MD (OWNER)
(330) 497-0817
Entity
Organization
Contact information
Practice address
4782 MUNSON ST NW, CANTON, OH 44718-3630
(330) 497-0817
(330) 497-0819
Mailing address
4782 MUNSON ST NW, CANTON, OH 44718-3630
(330) 497-0817
(330) 497-0819
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255325
—
OH
Enumeration date
03/28/2019
Last updated
04/01/2019
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