Organization
ASMA S. AHMAD, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY E WILKINS (ADMIN)
(034) 128-3185
Entity
Organization
Contact information
Practice address
4160 SW CHARMING WAY, PORTLAND, OR 97225-2025
(503) 539-5537
Mailing address
4160 SW CHARMING WAY, PORTLAND, OR 97225-2025
(503) 539-5537
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD24699
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13676466500
TYPE 1 (PERSONAL) NPI
—
01
—
MD24699
MEDICAL LICENSE
OR
Enumeration date
03/29/2018
Last updated
03/07/2023
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