Healthcare Provider Details

I. General information

NPI: 1811837081
Provider Name (Legal Business Name): MUHAMMAD AMMAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1074 SOUTH STATE STREET DOVER, DE 19901
DOVER DE
19901
US

IV. Provider business mailing address

1074 SOUTH STATE STREET DOVER, DE 19901
DOVER DE
19901
US

V. Phone/Fax

Practice location:
  • Phone: 302-725-3200
  • Fax:
Mailing address:
  • Phone: 302-725-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC7-0019198
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: