Individual
MUHAMMOD AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1942 E DUPONT RD STE A, FORT WAYNE, IN 46825-1582
(260) 408-6171
(260) 201-0189
Mailing address
1942 E DUPONT RD STE A, FORT WAYNE, IN 46825-1582
(260) 408-6171
(260) 201-0189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01061654A
IN
207L00000X
Anesthesiology Physician
235414
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01061654A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02747244
—
NY
05
—
200843180
—
IN
Enumeration date
06/08/2006
Last updated
12/12/2025
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