Individual
DR. AHMED ITRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1946 TOWN PARK BLVD, #110, UNIONTOWN, OH 44685-8372
(330) 344-8523
(330) 896-9729
Mailing address
1946 TOWN PARK BLVD, #110, UNIONTOWN, OH 44685-8372
(330) 344-8523
(330) 896-9729
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-123639
OH
2084V0102X
Vascular Neurology Physician
35-123639
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126561
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
09/02/2010
Last updated
01/11/2016
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