Organization
MUSHTAQ AHMAD MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSHTAQ AHMAD MD (OWNER)
(740) 387-4037
Entity
Organization
Contact information
Practice address
1063 HARDING MEMORIAL PKWY, MARION, OH 43302-6365
(740) 387-4037
Mailing address
PO BOX 435, MARION, OH 43301-0435
(740) 387-4037
(740) 382-1030
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
88436
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2696408
—
OH
Enumeration date
12/20/2006
Last updated
10/28/2010
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