Individual
ABDUL RAZZAQUE AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58320
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080243
AETNA US HEALTHCARE
—
01
—
0300099
UNITED HEALTHCARE
—
01
—
053820
TUFTS SECURE HORIZONS
—
01
—
26705
FALLON HEALTH PLAN
MA
01
—
38404
CIGNA HEALTHCARE
—
01
—
401193
HPHC
—
01
—
J08437
BCBS MA
—
Enumeration date
10/28/2005
Last updated
01/10/2012
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