MEDICARE: DR. SIDRAH MUSHTAQ 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	207Y00000X	Otolaryngology Physician	D96788	MD
2	207Y00000X	Otolaryngology Physician	MT198000	PA
3	207Y00000X	Otolaryngology Physician	284331	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083935779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIDRAH MUSHTAQ AHMAD MD

Provider Business Mailing Address
First Line	:	106 MILFORD ST STE 101
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-6966
Country	:	US
Telephone Number	:	410-742-1567
Fax Number	:	410-742-1906

Provider Business Practice Location Address
First Line	:	106 MILFORD ST STE 101
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-6966
Country	:	US
Telephone Number	:	410-742-1567
Fax Number	:	410-742-1906

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

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	12/09/2025

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