MEDICARE: DR. NAUSHABA 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	174400000X	Specialist	21110	WV

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	:	1558364059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAUSHABA AHMAD MD

Provider Business Mailing Address
First Line	:	2980 STAUNTON
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25702-0639
Country	:	US
Telephone Number	:	304-654-9945
Fax Number	:

Provider Business Practice Location Address
First Line	:	2980 STAUNTON RD
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25702-9622
Country	:	US
Telephone Number	:	304-654-9945
Fax Number	:

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	04/21/2011

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