Ahmad, Sardar Rafiq

Ahmad, Sardar Rafiq is an sole proprietor health care provider with primary practice located at 12 W Main St , Waterloo NY 13165-1329. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Ahmad, Sardar Rafiq can be contacted via phone (315) 539-9323.

Contact Information

Primary practice address
12 W Main St Waterloo NY 13165-1329
Phone: (315) 539-9323
Fax: (315) 539-4146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 020371 New York
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 020371 New York

Profile Details

NPI number 1124196472
LBN Legal business name Ahmad, Sardar Rafiq
Credentials R PH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1124196472 NPPES
New York MEDICAID 01153626

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