Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 225398 | NY |
Y | 207RR0500X | Rheumatology | 233936 | MA |
NPI | 1124126602 |
---|---|
Provider Name | Munir Ahmad |
First Address | Springfield, MA 01199-1001 |
Second Address | Palmer, MA 01069-1138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 29/11/2016 |