Basic Information
| Provider Information | |||||||||
| NPI: | 1437272846 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHMAD | ||||||||
| FirstName: | BASHIR | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4517 HARWICH TER | ||||||||
| Address2: | |||||||||
| City: | UPPER MARLBORO | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207726911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2409939833 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3720 MARTIN LUTHER KING AVENUE,SE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON, | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022791800 | ||||||||
| FaxNumber: | 2022794943 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA73 | DC | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.