Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 253593 | NY |
N | 207RG0100X | Gastroenterologist | 253593 | NY |
NPI | 1104898311 |
---|---|
Provider Name | Dr. Jawad Ahmad |
First Address | New York, NY 10029 |
Second Address | New York, NY 10029-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 14/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03130641 | (05) | NY |
H35998 | (02) | PA |