Individual
ISHAQ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
39 RIVERSIDE DR, ELKTON, MD 21921-5018
(410) 620-2070
Mailing address
39 RIVERSIDE DR, ELKTON, MD 21921-5018
(410) 620-2070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002245
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0002245
STATE LICENSE
MD
Enumeration date
01/28/2007
Last updated
07/08/2007
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