Basic Information
Provider Information
NPI: 1396033254
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMAD
FirstName: UMAIR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 237 W SCHROCK RD
Address2: SUITE B
City: WESTERVILLE
State: OH
PostalCode: 430812874
CountryCode: US
TelephoneNumber: 6148910005
FaxNumber: 6148903614
Practice Location
Address1: 6501 LOISDALE CT
Address2:  
City: SPRINGFIELD
State: VA
PostalCode: 221501826
CountryCode: US
TelephoneNumber: 7039221000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2011
LastUpdateDate: 06/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X35-122634OHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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