Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 310229 | LA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | R-10621 | IA |
NPI | 1053625418 |
---|---|
Provider Name | Dr. Sarah Aftab Ahmad |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Monroe, LA 71201-7411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2010 |
Last Update Date | 29/12/2020 |