Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD38449 | AL |
N | 111NI0900X | Internist | MD38449 | AL |
Y | 207RN0300X | Nephrologist | MD38449 | AL |
NPI | 1073069332 |
---|---|
Provider Name | Masood Ahmad |
First Address | Tuscaloosa, AL 35401-2029 |
Second Address | Tuscaloosa, AL 35401-2029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2016 |
Last Update Date | 23/07/2021 |