Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 297100 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 35.128482 | OH |
NPI | 1003082850 |
---|---|
Provider Name | Dr. Haitham M Ahmed |
First Address | New York, NY 10041-0010 |
Second Address | Brooklyn, NY 11207-2428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 22/08/2019 |