Individual
DR. OMAR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, HQ101, LEXINGTON, KY 40536-0293
(859) 323-8178
Mailing address
740 S LIMESTONE ST, K512, LEXINGTON, KY 40536-0284
(859) 323-8178
(859) 257-9286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071011A
IN
207R00000X
Internal Medicine Physician
036.124802
IL
207R00000X
Internal Medicine Physician
4301096002
MI
207R00000X
Internal Medicine Physician
53421-020
WI
207RI0200X
Infectious Disease Physician
Primary
49133
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201062900
—
IN
05
—
KY
—
KY
Enumeration date
03/29/2007
Last updated
08/18/2016
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