Individual
HASSAN IMTIAZ AHMAD
Active
Individual
HASSAN IMTIAZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01079818A
IN
207RR0500X
Rheumatology Physician
128401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014192
—
IN
01
—
815500568
MEDICARE PTAN
IN
Enumeration date
03/25/2013
Last updated
09/10/2025
Update your record
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