Basic Information
Provider Information
NPI: 1356460190
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALAHMAR
FirstName: AMMAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5400 FRANTZ RD 250
Address2:  
City: DUBLIN
State: OH
PostalCode: 430166102
CountryCode: US
TelephoneNumber: 6145446161
FaxNumber: 6145446370
Practice Location
Address1: 340 E TOWN ST
Address2: SUITE 8-300
City: COLUMBUS
State: OH
PostalCode: 432154600
CountryCode: US
TelephoneNumber: 6145667077
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/29/2007
LastUpdateDate: 09/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X178711NCN Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000XME149075FLY Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X35.098496OHN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XLL28793SCN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X42771KYN Allopathic & Osteopathic PhysiciansFamily Medicine 
208M00000X35.098496OHN Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
57-035917401SCTAX IDOTHER


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