Individual
DR. SHARIQ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2132 N 1700 W, STE 110, LAYTON, UT 84041-7059
(801) 779-3500
(801) 779-3508
Mailing address
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115-5096
(801) 288-2634
(801) 288-1186
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12599388-1205
UT
207RN0300X
Nephrology Physician
ME138070
FL
207RN0300X
Nephrology Physician
MO998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103780400
—
FL
05
—
173452702
—
TX
05
—
1861490211
—
UT
01
—
V1NWY
BCBS
FL
Enumeration date
07/11/2005
Last updated
05/22/2024
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