Individual
HANI AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(260) 373-8000
(260) 373-8034
Mailing address
15024 REMINGTON PL, FORT WAYNE, IN 46814-7599
(317) 437-8061
(727) 877-5302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01060341A
IN
2084P0800X
Psychiatry Physician
ME111572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200825450
—
IN
Enumeration date
06/23/2006
Last updated
05/11/2023
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