Individual
IMTIAZ M AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14645 HAZEL DELL RD, NOBLESVILLE, IN 46062-7066
(317) 922-2090
(317) 574-1875
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042752
IN
207Q00000X
Family Medicine Physician
01042752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208342
ANTHEM
—
05
—
100366080
—
IN
01
—
Q0087386
SHO
—
Enumeration date
12/29/2005
Last updated
06/03/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us