Provider Demographics
NPI:1689618589
Name:AHMAD, OSAID K (MD)
Entity Type:Individual
Prefix:
First Name:OSAID
Middle Name:K
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:300 N COMMERCIAL ST
Mailing Address - Street 2:STE 200
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-2619
Mailing Address - Country:US
Mailing Address - Phone:920-886-0818
Mailing Address - Fax:920-886-0773
Practice Address - Street 1:300 N COMMERCIAL ST
Practice Address - Street 2:STE 200
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-2619
Practice Address - Country:US
Practice Address - Phone:920-886-0818
Practice Address - Fax:920-886-0773
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2012-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI42175020207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34696700Medicaid
WI34696700Medicaid