Imran Ahmed MD

NPI 1043216948 - Family Medicine - 207Q00000X

NPI Details
NPI 1043216948
Gender Male
Enumeration Date 06/24/2005
Last Updated 08/02/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1522 STATE ROUTE 17B
WHITE LAKE NY, 12786-5428, US
Phone (845) 583-5620
Fax (845) 583-8084
Business Location
PO BOX 570
WHITE LAKE NY, 12786-0570, US
Phone (845) 583-5620
Fax (845) 583-8084
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 193608
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According to our database, Dr. Imran Ahmed MD NPI is 1043216948, taxonomy code is 207Q00000X and license number is 193608, license state is located at New York. Imran Ahmed MD physically located at 1522 State Route 17b, White Lake NY, 12786-5428. NPI Number Imran Ahmed MD has the Individual type.

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1043216948 NPI number is provided on an as is basis without warranty of any kind. 1043216948 is maintained by the National Plan & Provider Enumeration System. The contents of Imran Ahmed MD are for informational purposes only.