Individual
MAHER K AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 E UNIVERSITY AVE, CHAMPAIGN, IL 61820-3865
(217) 954-0119
(217) 954-1698
Mailing address
407 E UNIVERSITY AVE, CHAMPAIGN, IL 61820-3865
(217) 954-0119
(217) 954-1698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036091950
IL
207R00000X
Internal Medicine Physician
036091950
IL
208M00000X
Hospitalist Physician
036091950
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091950
—
IL
Enumeration date
07/28/2005
Last updated
01/22/2024
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