Basic Information
| Provider Information | |||||||||
| NPI: | 1225271315 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHMAD | ||||||||
| FirstName: | FATIMA | ||||||||
| MiddleName: | ZOHRA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1719 SETTLER'S RESERVE WAY | ||||||||
| Address2: | |||||||||
| City: | WESTLAKE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4402502566 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13951 TERRACE ROAD | ||||||||
| Address2: | |||||||||
| City: | EAST CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2167613300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2009 | ||||||||
| LastUpdateDate: | 05/07/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 57.014984 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.