MEDICARE: MUFTI N 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	207RX0202X	Medical Oncology Physician	01073478A	IN
2	207RH0003X	Hematology & Oncology Physician	35.099115	OH

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	:	1750511218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUFTI N AHMAD MD

Provider Business Mailing Address
First Line	:	3035 HAMILTON MASON RD
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-5544
Country	:	US
Telephone Number	:	513-853-1300
Fax Number	:	513-451-4118

Provider Business Practice Location Address
First Line	:	3035 HAMILTON MASON RD
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-5544
Country	:	US
Telephone Number	:	513-853-1300
Fax Number	:	513-451-4118

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

Provider Enumeration Date	:	07/19/2009
Last Update Date	:	08/28/2023

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Directions to “ MUFTI N AHMAD MD” Practice Location

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