Individual
AHAMED LAZIM VATTOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1465
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100771-851
WI
207R00000X
Internal Medicine Physician
Primary
86827-20
WI
Other
Enumeration date
04/03/2024
Last updated
01/22/2026
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