Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | E-12132 | AR |
N | 207Q00000X | Family Doctor | 48437 | TN |
Y | 207Q00000X | Family Doctor | E-12132 | AR |
NPI | 1013271485 |
---|---|
Provider Name | Dr. Hamad Ahmad |
First Address | Millington, TN 38053-1927 |
Second Address | Millington, TN 38053-1927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2012 |
Last Update Date | 14/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q021626 | (05) | TN |