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Individual

OWAIS AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 HARRISON ST, STE 250, JOHNSON CITY, NY 13790
(607) 770-8600
(607) 770-0853
Mailing address
30 HARRISON ST, STE 250, JOHNSON CITY, NY 13790
(607) 770-8600
(607) 770-0853

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
239190
NY
207RI0011X
Interventional Cardiology Physician
Primary
239190
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02277416
NY
Enumeration date
05/17/2006
Last updated
02/08/2011
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