Basic Information
Provider Information
NPI: 1588891188
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMAD
FirstName: UMAIR
MiddleName: S.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11289 CEDAR CREST DR
Address2:  
City: PLAIN CITY
State: OH
PostalCode: 430649261
CountryCode: US
TelephoneNumber: 5165822897
FaxNumber:  
Practice Location
Address1: 452 W 10TH AVE
Address2:  
City: COLUMBUS
State: OH
PostalCode: 43210
CountryCode: US
TelephoneNumber: 6142937677
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2009
LastUpdateDate: 08/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RA0001X35.123079OHN    
207RC0000X35.123079OHN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X35.123079OHY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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