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
Phone: (620) 227-1371
Fax: (620) 227-1208
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942281506 | NPPES |
Kansas | MEDICAID | 100383090A |
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