Individual
NISAR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3115 S PRICE RD, CHANDLER, AZ 85248-3544
(480) 926-0170
(480) 452-0715
Mailing address
3115 S PRICE RD, CHANDLER, AZ 85248-3544
(888) 488-7640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22549
AZ
208M00000X
Hospitalist Physician
22549
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110235690
RAIL ROAD MEDICARE ID
AZ
05
—
17523303
—
AZ
Enumeration date
02/27/2006
Last updated
06/20/2017
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