Individual
DR. ASHFAQ TAJ AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1174 E HOME RD, SPRINGFIELD, OH 45503-2726
(937) 398-0354
(937) 398-0358
Mailing address
1174 E HOME RD, SPRINGFIELD, OH 45503-2726
(937) 398-0354
(937) 398-0358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073182
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2388410
—
OH
Enumeration date
08/12/2005
Last updated
01/21/2011
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