Individual
TASNEEM AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
Mailing address
1620 S MICHIGAN AVE UNIT 503, CHICAGO, IL 60616-4688
(248) 633-3743
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01087472A
IN
207P00000X
Emergency Medicine Physician
Primary
036-161579
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
09/07/2023
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