Provider Demographics
NPI:1346777638
Name:AHMAD, BASHARAT (MD)
Entity Type:Individual
Prefix:
First Name:BASHARAT
Middle Name:
Last Name:AHMAD
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 1:2041 GEORGE AVENUE N.W.
Mailing Address - Street 2:HOWARD UNIVERSITY HOSPITAL
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060
Mailing Address - Country:US
Mailing Address - Phone:202-865-6100
Mailing Address - Fax:202-745-3731
Practice Address - Street 1:2041 GEORGE AVENUE N.W.
Practice Address - Street 2:HOWARD UNIVERSITY HOSPITAL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060
Practice Address - Country:US
Practice Address - Phone:202-865-6100
Practice Address - Fax:202-745-3731
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2017-12-28
Deactivation Date:2017-12-18
Deactivation Code:
Reactivation Date:2017-12-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program