Individual
DR. BASHIRUDDIN K AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4431 STARKEY RD, ROANOKE, VA 24018-0612
(540) 342-0211
(540) 344-5543
Mailing address
4431 STARKEY RD, ROANOKE, VA 24018-0612
(540) 342-0211
(540) 344-5543
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101227660
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007100159
—
VA
Enumeration date
05/16/2006
Last updated
04/25/2013
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