Individual
DR. WASEEM AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1351 W CENTRAL PARK AVE, PAVILION 2, STE 3300, DAVENPORT, IA 52804-1853
(563) 421-0430
(563) 421-0439
Mailing address
1351 W CENTRAL PARK AVE, PAVILION 2, STE 3300, DAVENPORT, IA 52804-1853
(563) 421-0430
(563) 421-0439
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036116005
IL
2084N0400X
Neurology Physician
Primary
37648
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116005
—
IL
01
—
P00320125
RR MEDICARE
IL
Enumeration date
06/19/2006
Last updated
10/11/2016
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