Ahmad, Imtiaz M

Ahmad, Imtiaz M is an individual health care provider with primary practice located at 14645 Hazel Dell Rd , Noblesville IN 46062-7066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ahmad, Imtiaz M can be contacted via phone (317) 922-2090.

Contact Information

Primary practice address
14645 Hazel Dell Rd Noblesville IN 46062-7066
Fax: (317) 574-1875
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01042752A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01042752 Indiana

Profile Details

NPI number 1104803212
LBN Legal business name Ahmad, Imtiaz M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 3rd, 2022 - about 3 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 1104803212 NPPES
Other 000000208342 ANTHEM
MEDICAID 100366080 ANTHEM
Other Q0087386 ANTHEM

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