Individual
IMRAN AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10110 DONALD S POWERS DR STE 202, MUNSTER, IN 46321-4070
(219) 922-8222
(219) 922-8377
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
01090752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300077477
—
IN
Enumeration date
03/30/2017
Last updated
01/18/2024
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