Organization
GASTRO MD, LLC
Active
Organization
GASTRO MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USMAN AHMAD MD (OWNER)
(419) 290-6412
Entity
Organization
Contact information
Practice address
20698 CHATHAM CREST CT, WESTFIELD, IN 46074-4357
(260) 407-8009
(260) 407-8009
Mailing address
20698 CHATHAM CREST CT, WESTFIELD, IN 46074-4357
(260) 407-8009
(260) 407-8009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01077429A
IN
207RG0100X
Gastroenterology Physician
Primary
01077429A
IN
Other
Enumeration date
02/09/2018
Last updated
03/26/2024
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