Individual
SURRIYA COLLEEN AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5026
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
310762
NY
207P00000X
Emergency Medicine Physician
59164
KY
207R00000X
Internal Medicine Physician
59164
KY
Other
Enumeration date
04/05/2016
Last updated
10/17/2024
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