Individual
IMRAN AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.090255
OH
207RI0011X
Interventional Cardiology Physician
Primary
036124567
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124567
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147119
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
RR MEDICARE PTAN (GROUP)
IL
01
—
F400118904
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
IL8618
MEDICARE PTAN (GROUP)
IL
01
—
P01098963
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/08/2008
Last updated
02/12/2014
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