Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 264355 | NY |
Y | 111NI0900X | Internist | 264355 | NY |
NPI | 1003059981 |
---|---|
Provider Name | Lotus Ahmed |
First Address | New York, NY 10087-5289 |
Second Address | Brooklyn, NY 11201-5141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 04/06/2021 |