Basic Information
Provider Information
NPI: 1568513240
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMAD
FirstName: SYED
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1150 VARNUM STREET, NE
Address2: ST. CATHERINE'S HALL/1ST FLOOR/RM 102
City: WASHINGTON
State: DC
PostalCode: 200172104
CountryCode: US
TelephoneNumber: 2028544812
FaxNumber: 2028547825
Practice Location
Address1: 2500 BERNVILLE RD
Address2:  
City: READING
State: PA
PostalCode: 196059453
CountryCode: US
TelephoneNumber: 6103782000
FaxNumber: 6103782799
Other Information
ProviderEnumerationDate: 01/16/2007
LastUpdateDate: 08/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001X25MA07573000NJN Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
2080N0001XMD044594DCN Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
2080N0001XMD068206LPAY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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