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NPI Verification

National Provider Identifier: 1104803212

Imtiaz M Ahmad, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

250 N SHADELAND AVE

INDIANAPOLIS, IN 462194959

NPI Enumeration Date

December 29, 2005

NPI Number

1104803212

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry