Individual
ANWAR AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 942-5745
(219) 942-8452
Mailing address
3419 SCOTTSDALE CIR, NAPERVILLE, IL 60564-4630
(630) 904-2925
(630) 357-2806
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01032449A
IN
2085R0203X
Therapeutic Radiology Physician
Primary
01032449A
IN
2085R0203X
Therapeutic Radiology Physician
03656186
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300065587
—
IN
05
—
7040968016
—
IL
Enumeration date
08/04/2006
Last updated
08/30/2022
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