Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 35057646 | OH |
N | 2080P0201X | Pediatric Allergist | 35057646 | OH |
NPI | 1699856559 |
---|---|
Provider Name | Masood Ahmad |
First Address | West Chester, OH 45069 |
Second Address | West Chester, OH 45069 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 14/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0741175 | (05) | OH |
E70962 | (02) |