Provider Demographics
NPI:1215017611
Name:AHAD, ABDUL Q (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:Q
Last Name:AHAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 IRVING ST NW STE 218
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2993
Mailing Address - Country:US
Mailing Address - Phone:202-722-0099
Mailing Address - Fax:202-726-1116
Practice Address - Street 1:106 IRVING ST NW STE 218
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2993
Practice Address - Country:US
Practice Address - Phone:202-722-0099
Practice Address - Fax:202-726-1116
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1255174400000X
MDD0025028174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC131641900Medicaid
DC131641900Medicaid
DC18333377Medicare ID - Type Unspecified