Individual
SUBHAN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
870 PALISADE AVE STE 202, TEANECK, NJ 07666-3445
(201) 836-0897
(201) 836-8042
Mailing address
870 PALISADE AVE STE 202, TEANECK, NJ 07666-3445
(201) 836-0897
(201) 836-8042
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA10425800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349279502
—
TX
Enumeration date
05/29/2009
Last updated
06/24/2019
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