Individual
NISSAR RAZAK AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2000
Mailing address
4 QUAKER MEADOW LN, WARREN, PA 16365-4224
(814) 688-4148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
318767
NY
208M00000X
Hospitalist Physician
Primary
318767
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/21/2018
Last updated
08/06/2023
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