Ahmad, Maida Imtiaz

Ahmad, Maida Imtiaz is an individual health care provider with primary practice located at 201 Kimberly Way Ste 200 , Canton GA 30114-8010. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ahmad, Maida Imtiaz can be contacted via phone (678) 381-2020.

Contact Information

Primary practice address
201 Kimberly Way Ste 200 Canton GA 30114-8010
Fax: (678) 381-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT003333 Georgia

Profile Details

NPI number 1851962724
LBN Legal business name Ahmad, Maida Imtiaz
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2021
Last updated Jun 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851962724 NPPES
Georgia Other OPT003333 PROFESSIONAL LICENSE

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