Healthcare Provider Details

I. General information

NPI: 1992297931
Provider Name (Legal Business Name): AAMIR AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2018
Last Update Date: 05/26/2024
Certification Date: 05/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E HURON ST # 3-104
CHICAGO IL
60611-2908
US

IV. Provider business mailing address

955 MAIN ST STE 7230
BUFFALO NY
14203-1121
US

V. Phone/Fax

Practice location:
  • Phone: 312-694-4979
  • Fax: 312-926-2121
Mailing address:
  • Phone: 716-829-2012
  • Fax: 716-829-3999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125072707
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036168570
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number036168570
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: