Individual
MR. IMTIAZ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 NORTHPARKE DR, SPRINGFIELD, OH 45503-1117
(937) 390-1700
(937) 390-2471
Mailing address
211 NORTHPARKE DR, SPRINGFIELD, OH 45503-1117
(937) 390-1700
(937) 390-2471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35061540
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0828779
—
OH
Enumeration date
08/05/2006
Last updated
09/01/2020
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