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Individual

DR. NIAZ AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Mailing address
1001 MAIN ST # K3502, BUFFALO, NY 14203-1009
(716) 323-6570
(716) 323-6658

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD023924E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100778416
PA
01
155654
BLUE SHIELD
PA
Enumeration date
10/18/2005
Last updated
03/04/2021
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