Individual
AHMAD Y IZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5050
(316) 689-6192
Mailing address
PO BOX 645, WICHITA, KS 67201-0645
(316) 689-5050
(316) 689-5050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-34316
KS
2085R0202X
Diagnostic Radiology Physician
R-7677
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200654710B
—
KS
Enumeration date
05/22/2007
Last updated
03/04/2026
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