Ahmad, Ishtiaq

Ahmad, Ishtiaq is an sole proprietor health care provider with primary practice located at 1860 Town Center Dr Suite 320, Reston VA 20190-5896. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ahmad, Ishtiaq can be contacted via phone (703) 348-7207.

Contact Information

Primary practice address
1860 Town Center Dr Suite 320 Reston VA 20190-5896
Phone: (703) 348-7207
Fax: (703) 435-1844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D0061334 Maryland
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 242 Virginia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 010230245 Virginia
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 3089 Virginia

Profile Details

NPI number 1326008384
LBN Legal business name Ahmad, Ishtiaq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Sep 29th, 2011 - about 13 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 1326008384 NPPES
Virginia MEDICAID 010358906
Virginia MEDICAID 404642100
Virginia Other 6432-0001

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