Chisti, Mudasir Ahmad
Chisti, Mudasir Ahmad is an sole proprietor health care provider with primary practice located at 890 Oak St Se , Salem OR 97301-3905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Chisti, Mudasir Ahmad can be contacted via phone (503) 561-5200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD154287 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD154287 | Oregon |
Profile Details
| NPI number | 1497905020 |
|---|---|
| LBN Legal business name | Chisti, Mudasir Ahmad |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2008 |
| Last updated | Nov 26th, 2018 - about 7 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 | 1497905020 | NPPES |
| Oregon | MEDICAID | 500637800 |
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