Provider Demographics
NPI:1568194652
Name:AHMAD, DAANISH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAANISH
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 1:1000 W CARSON ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2004
Mailing Address - Country:US
Mailing Address - Phone:424-306-8070
Mailing Address - Fax:424-389-7590
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:424-306-8070
Practice Address - Fax:424-389-7590
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR79320208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No208600000XAllopathic & Osteopathic PhysiciansSurgery