Individual
DR. BILAL R AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-0111
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2014-01685
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD23170
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124267307
—
ME
Enumeration date
02/12/2009
Last updated
09/09/2019
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