Individual
AHMAD NIZAM
Active
Individual
AHMAD NIZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46536
AZ
2084N0400X
Neurology Physician
Primary
46536
AZ
2084P0800X
Psychiatry Physician
46536
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715953
—
AZ
Enumeration date
10/19/2010
Last updated
04/23/2024
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