MEDICARE: SARFRAZ AHMAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	MD059464L	PA

General Provider Information

NPI Number	:	1073501052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARFRAZ AHMAD MD

Provider Business Mailing Address
First Line	:	508 S CHURCH ST STE 100
Second Line	:
City	:	MT PLEASANT
State	:	PA
Zip	:	15666-1702
Country	:	US
Telephone Number	:	724-547-7212
Fax Number	:	724-547-7278

Provider Business Practice Location Address
First Line	:	508 S CHURCH ST STE 100
Second Line	:
City	:	MT PLEASANT
State	:	PA
Zip	:	15666-1702
Country	:	US
Telephone Number	:	724-547-7212
Fax Number	:	724-547-7278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	08/28/2025

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