Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301503524 | MI |
N | 111NI0900X | Internist | 4301503524 | MI |
N | 208000000X | Pediatrician | 4301108487 | MI |
Y | 2080P0205X | Pediatric Endocrinologist | 312989 | NY |
NPI | 1508249590 |
---|---|
Provider Name | Dr. Unavailable Ahsan-Ud-Din |
First Address | New York, NY 10065-4870 |
Second Address | New York, NY 10021-4872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2015 |
Last Update Date | 28/09/2021 |