Individual
DR. AHMAD S AHMADZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6924 INDIANAPOLIS BOULEVARD, HAMMOND, IN 46324-2206
(219) 844-9060
(219) 844-6912
Mailing address
9660 WICKER AVE, ST JOHN, IN 46373-9487
(219) 226-2203
(219) 226-2202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01032690
IN
207R00000X
Internal Medicine Physician
Primary
01032690A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100169490
—
IN
Enumeration date
11/04/2005
Last updated
07/09/2010
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