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Individual

DR. EJAZ AHMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 278-6251
Mailing address
PO BOX 713058, COLUMBUS, OH 43271-0001
(800) 288-8325

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35084627
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2511571
OH
Enumeration date
03/17/2006
Last updated
01/20/2023
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