Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT188492 | PA |
Y | 2084N0402X | Child Neurologist | 036.131052 | IL |
N | 2084N0402X | Child Neurologist | MD440316 | PA |
NPI | 1104026699 |
---|---|
Provider Name | Saba Ahmad |
First Address | Chicago, IL 60612-4325 |
Second Address | Chicago, IL 60612-4325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 20/02/2014 |