Individual
AHMAD MIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 BUSINESS PARK DR STE 150, UTICA, NY 13502-6322
(315) 735-3541
Mailing address
125 BUSINESS PARK DR STE 150, UTICA, NY 13502-6322
(315) 735-3541
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
245768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02914212
—
NY
Enumeration date
10/31/2006
Last updated
09/06/2024
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