Individual
BAIAN AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 LAKE ST STE LL54, OAK PARK, IL 60301-1099
(404) 631-6156
Mailing address
1210 S INDIANA AVE APT 5406, CHICAGO, IL 60605-3036
(312) 783-7384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
66165
IL
363AM0700X
Medical Physician Assistant
Primary
66165
CA
363AS0400X
Surgical Physician Assistant
66165
CA
Other
Enumeration date
03/17/2025
Last updated
02/19/2026
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