Ahmad, Rizwan S

Ahmad, Rizwan S is an individual health care provider with primary practice located at 104 W 6Th St Suite 204, Streator IL 61364-2899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ahmad, Rizwan S can be contacted via phone (815) 673-5533.

Contact Information

Primary practice address
104 W 6Th St Suite 204 Streator IL 61364-2899
Phone: (815) 673-5533
Fax: (815) 673-2554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036124179 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036124179 Illinois

Profile Details

NPI number 1578710562
LBN Legal business name Ahmad, Rizwan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Aug 22nd, 2011 - about 15 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 1578710562 NPPES
Oregon Other MD28493 STATE LICENSE

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