Individual
MR. IJAZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2828 FIRST AVE SUITE 202, HUNTINGTON, WV 25702-1236
(304) 522-1299
(304) 522-2954
Mailing address
2828 FIRST AVE SUITE 202, HUNTINGTON, WV 25702-1236
(304) 522-1299
(304) 522-2954
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12398
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090974000
—
WV
05
—
0351159
—
OH
05
—
64694862
—
KY
Enumeration date
12/08/2005
Last updated
02/08/2008
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