Individual
JAMIL AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1507 WABASH ST, SUITE 400C, MICHIGAN CITY, IN 46360-4300
(219) 871-0833
(219) 871-0836
Mailing address
1507 WABASH ST, SUITE 400C, MICHIGAN CITY, IN 46360-4300
(219) 871-0833
(219) 871-0836
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01045186A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093185
ANTHEM BLUE SHIELD
IN
01
—
000000216031
ANTHEM BLUE SHIELD
IN
01
—
050045077
RAILROAD MEDICARE
—
01
—
050092416
RAILROAD MEDICARE
—
05
—
200101230A
—
IN
Enumeration date
07/28/2005
Last updated
02/15/2011
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