Individual
NADIRA A AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 EAST 90TH DRIVE, MERRILLVILLE, IN 46410
(219) 769-6363
(219) 769-3922
Mailing address
270 EAST 90TH DRIVE, MERRILLVILLE, IN 46410
(219) 769-6363
(219) 769-3922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200289300
—
IN
Enumeration date
11/13/2006
Last updated
04/07/2010
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