Healthcare Provider Details

I. General information

NPI: 1669755476
Provider Name (Legal Business Name): BILAL AHMAD MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 09/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 WILLOW RD
GREENSBORO NC
27406-3831
US

IV. Provider business mailing address

1351 MASON FARM RD APT# 122
CHAPEL HILL NC
27514-4718
US

V. Phone/Fax

Practice location:
  • Phone: 336-529-8923
  • Fax: 919-967-1753
Mailing address:
  • Phone: 336-529-8923
  • Fax: 919-967-1753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BILAL AHMAD
Title or Position: OWNER
Credential: M.D.
Phone: 336-529-8923