Ahmad, Mahnaz

Ahmad, Mahnaz is an individual health care provider with primary practice located at 1321 Ne 99Th Ave Ste 200, Portland OR 97220-9436. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ahmad, Mahnaz can be contacted via phone (503) 215-4250.

Contact Information

Primary practice address
1321 Ne 99Th Ave Ste 200 Portland OR 97220-9436
Phone: (503) 215-4250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD23002 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD23002 Oregon

Profile Details

NPI number 1124046727
LBN Legal business name Ahmad, Mahnaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 10th, 2022 - about 2 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 1124046727 NPPES
Oregon Other P01010657 RR MEDICARE
Oregon MEDICAID 218491 RR MEDICARE

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