Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 25MA07766900 | NJ |
NPI | 1023001252 |
---|---|
Provider Name | Dr. Khalid M Ahmad |
First Address | Red Bank, NJ 07701 |
Second Address | Red Bank, NJ 07701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 07/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0048003 | (05) | NJ |
I21528 | (02) | NJ |