Provider Demographics
NPI:1710417704
Name:NAEEM, AMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:AMMAD
Middle Name:
Last Name:NAEEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2157 MAIN STREET, 5TH FLOOR DEPARTMENT OF MEDICINE
Mailing Address - Street 2:YVONNE MCPHAIL DOLL, PROGRAM ADMINISTRATOR SISTERS OF C
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214
Mailing Address - Country:US
Mailing Address - Phone:716-862-1423
Mailing Address - Fax:716-862-1867
Practice Address - Street 1:2157 MAIN, ST. SISTERS OF CHARITY HOSPITAL
Practice Address - Street 2:YVONNE MCPHAIL DOLL, PROGRAM ADMINISTRATOR, DEPART OF M
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-862-1423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WV29605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program