Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A87102 | CA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | A87102 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A87102 | CA |
NPI | 1629059639 |
---|---|
Provider Name | Dr. Syed Imraan Ahmed |
First Address | Ft Belvoir, VA 22060 |
Second Address | Fort Belvoir, VA 22060-5285 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 15/09/2015 |