Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | N1246 | TX |
N | 208000000X | Pediatrician | MA073321 | NJ |
Y | 208000000X | Pediatrician | N1246 | TX |
N | 2080P0204X | Pediatric Emergency Doctor | N1246 | TX |
NPI | 1376587832 |
---|---|
Provider Name | Khoshnood Ahmad |
First Address | Frisco, TX 75034 |
Second Address | Frisco, TX 75034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 28/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02068922 | (05) | NJ |
280591304 | (05) | TX |
48021784 | (05) | NM |
H23204 | (02) | NJ |