Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD470522 | PA |
NPI | 1073068284 |
---|---|
Provider Name | Awais Ammar |
First Address | Joliet, IL 60434-3877 |
Second Address | Chambersburg, PA 17201-4400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2016 |
Last Update Date | 10/02/2021 |