Provider Demographics
NPI:1437721669
Name:AHMAD, BILAL (BA)
Entity Type:Individual
Prefix:
First Name:BILAL
Middle Name:
Last Name:AHMAD
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 BROOKCREST DR # RC333
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3446
Mailing Address - Country:US
Mailing Address - Phone:513-802-5642
Mailing Address - Fax:
Practice Address - Street 1:7373 BROOKCREST DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3446
Practice Address - Country:US
Practice Address - Phone:513-443-8559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker