Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 0101026869 | VA |
NPI | 1013965193 |
---|---|
Provider Name | Syed Aftab Ahmed |
First Address | Danville, VA 24541-4155 |
Second Address | Danville, VA 24541-4155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 29/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
434717 | BCBS (01) | VA |
8905033 | (05) | NC |
B06436 | (02) |