Provider Demographics
NPI:1417034166
Name:I AHMAD AND S AHMAD MD
Entity Type:Organization
Organization Name:I AHMAD AND S AHMAD MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IFTIKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-272-8383
Mailing Address - Street 1:608 NW 9TH
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1058
Mailing Address - Country:US
Mailing Address - Phone:405-272-8383
Mailing Address - Fax:405-231-8745
Practice Address - Street 1:608 NW 9TH
Practice Address - Street 2:SUITE 4000
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1058
Practice Address - Country:US
Practice Address - Phone:405-272-8383
Practice Address - Fax:405-231-8745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12063207RC0000X
OK14498207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200093970AMedicaid
OK=========Medicare PIN
D38595Medicare UPIN