Basic Information
Provider Information
NPI: 1235392994
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMAD
FirstName: ZEESHAN
MiddleName: NASEER
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 611 MOCKSVILLE AVE
Address2:  
City: SALISBURY
State: NC
PostalCode: 281442705
CountryCode: US
TelephoneNumber: 7046337220
FaxNumber: 7046470515
Practice Location
Address1: 611 MOCKSVILLE AVE
Address2:  
City: SALISBURY
State: NC
PostalCode: 28144
CountryCode: US
TelephoneNumber: 7046337220
FaxNumber: 7046470515
Other Information
ProviderEnumerationDate: 07/02/2008
LastUpdateDate: 03/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X2010-01174NCN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207R00000X2010-01174NCN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001X036.137235ILN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RS0012X2010-01174NCN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
208M00000X2010-01174NCN Allopathic & Osteopathic PhysiciansHospitalist 
207RP1001X2010-01174NCY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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