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NPI Code Detail

MEDICARE: ZIAUDDIN AHMED MD

MEDICARE: ZIAUDDIN AHMED 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
1207RN0300XNephrology PhysicianMD039219LPA

Other Identifiers

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

General Provider Information

NPI Number : 1306888532
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZIAUDDIN AHMED MD
Provider Business Mailing Address
First Line : 2450 W HUNTING PARK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1302
Country : US
Telephone Number : 215-707-4600
Fax Number : 215-707-9697
Provider Business Practice Location Address
First Line : 3401 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5189
Country : US
Telephone Number : 215-707-4600
Fax Number : 215-707-9697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 02/04/2020

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Directions to “ ZIAUDDIN AHMED MD” Practice Location

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