Individual
DR. AHMER ISHTIAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6849
Mailing address
477 JOHNSON AVE, RONKONKOMA, NY 11779-6120
(347) 553-5056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
269054
MA
208M00000X
Hospitalist Physician
V3617
TX
Other
Enumeration date
06/24/2013
Last updated
07/28/2025
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