Ahmad, Hassan Imtiaz

Ahmad, Hassan Imtiaz is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Ahmad, Hassan Imtiaz can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 448-7634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 128401 Ohio
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01079818A Indiana

Profile Details

NPI number 1235471541
LBN Legal business name Ahmad, Hassan Imtiaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2013
Last updated Sep 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235471541 NPPES
Indiana MEDICAID 300014192
Indiana Other 815500568

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