Individual
DR. HASSAN MIRZA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5083
Mailing address
1 VIRGINIA AVE, SUITE 201, PROVIDENCE, RI 02905-4427
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0065862
MD
Other
Enumeration date
02/01/2007
Last updated
10/17/2014
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