Ahmed, Mirza W

Ahmed, Mirza W is an individual health care provider with primary practice located at 1210 W 5Th St Suite 100, London KY 40741-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ahmed, Mirza W can be contacted via phone (606) 864-4040.

Contact Information

Primary practice address
1210 W 5Th St Suite 100 London KY 40741-2112
Phone: (606) 864-4040
Fax: (606) 864-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31393 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 034761 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 31393 Kentucky

Profile Details

NPI number 1376653634
LBN Legal business name Ahmed, Mirza W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 10th, 2020 - about 5 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 1376653634 NPPES
Georgia MEDICAID 000715448AA
Georgia MEDICAID 000715448AC
Georgia MEDICAID 000715448AD
Georgia MEDICAID 000715448AP
Georgia Other 319761
Georgia Other 708612
Georgia MEDICAID 7100366800
Georgia Other 607859800
Georgia Other P00180131
Georgia MEDICAID 000715448AB

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