Individual
DR. HASAN BILAL AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6620
(260) 672-6639
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02008088A
IN
207R00000X
Internal Medicine Physician
OP61082106
WA
208M00000X
Hospitalist Physician
OP61082106
WA
Other
Enumeration date
03/28/2014
Last updated
02/03/2025
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