Individual
KHADIJA L AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 EMMANUEL WAY STE B, SPRINGFIELD, OH 45502-7218
(937) 504-0120
(937) 521-1092
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-094335
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209478
—
NY
05
—
3121615
—
OH
Enumeration date
03/20/2007
Last updated
12/29/2021
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