Individual
MIRZA N AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4782 MUNSON ST NW, CANTON, OH 44718
(330) 497-0817
(330) 497-0819
Mailing address
4782 MUNSON ST NW, CANTON, OH 44718
(330) 497-0817
(330) 497-0819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35037323A
OH
2086S0105X
Surgery of the Hand (Surgery) Physician
35037323A
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35037323A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255325
—
OH
Enumeration date
10/06/2006
Last updated
03/04/2019
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