Individual
SANA TANVEER AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-8000
Mailing address
2302 BERMONDSEY DR, BOWIE, MD 20721-4219
(240) 475-4401
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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