MEDICARE: MAQSOOD AHMAD M.D

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	33146	WI
2	207RC0000X	Cardiovascular Disease Physician	33146-20	WI

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
3	33146-020	OTHER	WI	STATE LICENSE

General Provider Information

NPI Number	:	1639143548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAQSOOD AHMAD M.D

Provider Business Mailing Address
First Line	:	5434 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2298
Country	:	US
Telephone Number	:	414-442-5400
Fax Number	:	414-442-5468

Provider Business Practice Location Address
First Line	:	5434 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2298
Country	:	US
Telephone Number	:	414-442-5400
Fax Number	:	414-442-5468

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	03/07/2024

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Directions to “ MAQSOOD AHMAD M.D” Practice Location

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