Provider Demographics
NPI:1760438576
Name:KASHIF AL GHITA, AHMAD A (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:A
Last Name:KASHIF AL GHITA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AHMAD
Other - Middle Name:
Other - Last Name:KASHIF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1918 RANDOLPH RD STE 600
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1198
Mailing Address - Country:US
Mailing Address - Phone:704-342-0252
Mailing Address - Fax:980-533-7801
Practice Address - Street 1:1918 RANDOLPH RD STE 600
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1198
Practice Address - Country:US
Practice Address - Phone:704-342-0252
Practice Address - Fax:980-533-7801
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2022-05-24
Deactivation Date:2006-05-25
Deactivation Code:
Reactivation Date:2006-05-26
Provider Licenses
StateLicense IDTaxonomies
NC9300496207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC23469OtherPARTNERS
NC104648OtherCOVENTRY
NC660003246OtherRAILROAD MEDICARE
NC4626083OtherAETNA - NON-HMO
NC4782NOtherBCBS
NCA7358OtherMEDCOST
NC2382079OtherAETNA - HMO
NC1974028003OtherCIGNA
NC385000OtherMAMSI
NC894782NMedicaid
NC4626083OtherAETNA - NON-HMO
NC2192136CMedicare ID - Type Unspecified