Individual
DR. ISTEAQ AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3964 HAMILTON SQUARE BLVD, GROVEPORT, OH 43125-9119
(703) 867-3691
Mailing address
3964 HAMILTON SQUARE BLVD, GROVEPORT, OH 43125-9119
(703) 867-3691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.124309
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
055401
CT
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35.124309
OH
390200000X
Student in an Organized Health Care Education/Training Program
055401
CT
Other
Enumeration date
06/13/2011
Last updated
03/17/2018
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