Wattad, Ahmad A

Wattad, Ahmad A is an individual health care provider with primary practice located at 325 N State Of Franklin Rd Ground Floor, Johnson City TN 37604-6062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Wattad, Ahmad A can be contacted via phone (423) 439-7320.

Contact Information

Primary practice address
325 N State Of Franklin Rd Ground Floor Johnson City TN 37604-6062
Phone: (423) 439-7320
Fax: (423) 439-7343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD20802 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD20802 Tennessee

Profile Details

NPI number 1174511588
LBN Legal business name Wattad, Ahmad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jan 29th, 2024 - about 2 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 1174511588 NPPES
Tennessee MEDICAID Q009946

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