Individual
AWAIS AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
431 WASHINGTON ST APT 4, BROOKLINE, MA 02446-6131
(617) 319-8531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01090350A
IN
207R00000X
Internal Medicine Physician
279300
MA
207RG0100X
Gastroenterology Physician
01090350A
IN
207RG0100X
Gastroenterology Physician
Primary
13779
WI
208M00000X
Hospitalist Physician
2015-01505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100369733
—
WI
01
—
1103680373
ANTHEM PTAN
IN
05
—
300079052
—
IN
Enumeration date
03/22/2012
Last updated
10/21/2025
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