Provider Demographics
NPI:1366451619
Name:AHMAD, NAILA B (MD)
Entity Type:Individual
Prefix:
First Name:NAILA
Middle Name:B
Last Name:AHMAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAILA
Other - Middle Name:
Other - Last Name:AHMAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:505 DUTCHMANS LN STE A3
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4302
Mailing Address - Country:US
Mailing Address - Phone:410-819-6545
Mailing Address - Fax:410-819-6750
Practice Address - Street 1:505 DUTCHMANS LN STE A3
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4302
Practice Address - Country:US
Practice Address - Phone:410-819-6545
Practice Address - Fax:410-819-6750
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040168207RR0500X
MDD68692207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA276290OtherLNI
WA0177502OtherSTATE L&I
WA8931305OtherSTATE CRIME VICTIMS
WA1366451619Medicaid
WA8370868Medicaid
WAP00270962OtherRAILROAD
WA0053AHOtherREGENCE
WA8899793Medicare PIN
WA8370868Medicaid
WAG8800186Medicare PIN