Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 224452-1 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | A90461 | CA |
NPI | 1043242670 |
---|---|
Provider Name | Dr. Jamil Ahmed |
First Address | Williamsville, NY 14221-7470 |
Second Address | Visalia, CA 93277-9249 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 21/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043242670 | (05) | NY |