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Individual

DR. WALEED AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12750 SAINT FRANCIS DR STE 320, CROWN POINT, IN 46307-0264
(219) 662-0077
(219) 618-6701
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A96991
CA
207RC0000X
Cardiovascular Disease Physician
Primary
01091737A
IN
207RC0000X
Cardiovascular Disease Physician
036131006
IL
207RC0000X
Cardiovascular Disease Physician
U0951
TX
207UN0901X
Nuclear Cardiology Physician
01091737A
IN
207UN0901X
Nuclear Cardiology Physician
036131006
IL
2085U0001X
Diagnostic Ultrasound Physician
01091737A
IN
2085U0001X
Diagnostic Ultrasound Physician
036131006
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036131006
IL
01
206147
MEDICARE PTAN (GROUP)
IL
01
206147123
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
11/09/2006
Last updated
11/06/2025
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