Individual
DR. ABRAR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 BROOKSIDE DR, SUITE 102, KINGSPORT, TN 37660-4634
(423) 245-6000
(423) 245-6062
Mailing address
2002 BROOKSIDE DR, SUITE 102, KINGSPORT, TN 37660-4634
(423) 245-6000
(423) 245-6062
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101237891
VA
207RN0300X
Nephrology Physician
Primary
39737
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010190240
—
VA
05
—
3330508
—
TN
01
—
4105245
BLUECROSS BLUESHIELD
TN
01
—
TN0108
JOHN DEERE
TN
Enumeration date
10/31/2005
Last updated
01/28/2020
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