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NPI Code Detail

MEDICARE: IJAZ AHMAD M.D

MEDICARE: IJAZ 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
1207UN0901XNuclear Cardiology Physician247775-1NY
2207RC0000XCardiovascular Disease Physician247775-1NY

General Provider Information

NPI Number : 1902895238
Entity Type Code : Individual
Provider Name (Legal Business Name) : IJAZ AHMAD M.D
Provider Business Mailing Address
First Line : 70 OLD WESTBURY RD
Second Line :
City : OLD WESTBURY
State : NY
Zip : 11568-1611
Country : US
Telephone Number : 718-395-6444
Fax Number : 718-676-9557
Provider Business Practice Location Address
First Line : 47 PLAZA ST W STE 1B
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3905
Country : US
Telephone Number : 718-789-4332
Fax Number : 718-857-8498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2005
Last Update Date : 09/04/2024

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