Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | D0026021 | MD |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | D0026021 | MD |
NPI | 1063452282 |
---|---|
Provider Name | Laeeq Ahmad |
First Address | Lanham, MD 20706-3508 |
Second Address | Lanham, MD 20706-3508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 15/06/2020 |