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Individual

NISAR AHMED

Active
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Individual

NISAR AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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