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Individual

DR. IMTIAZ AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 MCKINLEY PARK DR, MARION, OH 43302-6399
(614) 544-6356
(740) 383-8400
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35-06-9521
OH
207RI0011X
Interventional Cardiology Physician
Primary
35069521
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0196416
OH
Enumeration date
12/11/2006
Last updated
12/22/2021
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