Ahmad, Mirza

Ahmad, Mirza is an individual health care provider with primary practice located at 2020 Central Avenue , Dodge City KS 67801-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ahmad, Mirza can be contacted via phone (620) 227-1371.

Contact Information

Primary practice address
2020 Central Avenue Dodge City KS 67801-1000
Fax: (620) 227-1208
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-28738 Kansas

Profile Details

NPI number 1942281506
LBN Legal business name Ahmad, Mirza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jan 30th, 2014 - about 11 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 1942281506 NPPES
Kansas MEDICAID 100383090A

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