Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 69900 | MN |
N | 207RH0003X | Hematology & Oncology | 29053 | OK |
Y | 207RX0202X | Medical Oncology | 69900 | MN |
NPI | 1275845778 |
---|---|
Provider Name | Bilal Ahmad |
First Address | Minneapolis, MN 55407-1321 |
Second Address | Coon Rapids, MN 55433-2772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
416824YS44 | (02) | OK |