Individual
ATIF AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 N RIVERCENTER DR, MILWAUKEE, WI 53212-3978
(414) 283-8444
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2013034091
MO
207N00000X
Dermatology Physician
Primary
65778
WI
207N00000X
Dermatology Physician
T4301
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059401
—
WI
Enumeration date
01/16/2009
Last updated
10/18/2024
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