Individual
GHAZANFAR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16687 SAINT CLAIR AVE, SUITE 203, EAST LIVERPOOL, OH 43920-9401
(330) 386-7777
Mailing address
7880 LINCOLE PL, LISBON, OH 44432-8322
(330) 424-7221
(330) 424-3731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35087345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489143
ANTHEM BLUE SHIELD ELO LO
OH
01
—
000000489146
ANTHEM BLUE SHIELD LISBON
OH
05
—
2677812
—
OH
Enumeration date
08/11/2006
Last updated
07/13/2007
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