Individual
IMDAD AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6868
(608) 756-6289
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6868
(608) 756-6289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036140036
IL
207R00000X
Internal Medicine Physician
102950
MN
207RC0000X
Cardiovascular Disease Physician
Primary
036140036
IL
207RC0000X
Cardiovascular Disease Physician
052275
CT
207RC0000X
Cardiovascular Disease Physician
MT198590
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-140036
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
052275
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
65353-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053536219
—
WI
Enumeration date
04/14/2007
Last updated
03/31/2026
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