Basic Information
| Provider Information | |||||||||
| NPI: | 1255396149 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHMAD | ||||||||
| FirstName: | AMIR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34 KIRBY TRCE | ||||||||
| Address2: | |||||||||
| City: | HARLAN | ||||||||
| State: | KY | ||||||||
| PostalCode: | 408317130 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 81 BALL PARK RD | ||||||||
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| City: | HARLAN | ||||||||
| State: | KY | ||||||||
| PostalCode: | 408311701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6065738201 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PE0004X | 33592 | KY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services |
No ID Information.