Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 036094864 | IL |
NPI | 1093855454 |
---|---|
Provider Name | Dr. Naveed Ahmad |
First Address | Fort Wayne, IN 46805-5100 |
Second Address | Fort Wayne, IN 46805-4728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 06/08/2021 |