Ahmad A Wattad
Pediatrician Pediatric Nephrologist
325 N State Of Franklin Rd
Johnson City
, Tennessee 37604-6062
Ahmad A Wattad
Pediatrician Pediatric Nephrologist
325 N State Of Franklin Rd
Johnson City
, Tennessee 37604-6062
(423) 439-7343
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Ahmad A Wattad
- Po Box 699
- Mountain Home, TN
- Zip : 37684-0699
- Fax : (423) 439-7343
- Phone : (423) 439-7320
Second Address
- Ahmad A Wattad
- 325 N State Of Franklin Rd
- Johnson City, TN
- Zip : 37604-6062
- Fax : (423) 439-7343
- Phone : (423) 439-7320
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD20802 | TN |
| Y | 2080P0210X | Pediatric Nephrologist | MD20802 | TN |
National Provider Identifier
| NPI | 1174511588 |
|---|---|
| Provider Name | Ahmad A Wattad |
| First Address | Mountain Home, TN 37684-0699 |
| Second Address | Johnson City, TN 37604-6062 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 05/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.