Ahmad, Iftekhar Y

Ahmad, Iftekhar Y is an individual health care provider with primary practice located at 5666 East State Street , Rockford IL 61108-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Ahmad, Iftekhar Y can be contacted via phone (815) 226-2000.

Contact Information

Primary practice address
5666 East State Street Rockford IL 61108-2425
Phone: (815) 226-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036-125259 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 4301086154 Michigan

Profile Details

NPI number 1164641791
LBN Legal business name Ahmad, Iftekhar Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Feb 24th, 2011 - about 14 years ago

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 1164641791 NPPES
Illinois MEDICAID 036125259

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