Provider Demographics
NPI:1922069517
Name:KAHF, AHMAD NIZAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:NIZAR
Last Name:KAHF
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 1:401 HALEDON AVE
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1553
Mailing Address - Country:US
Mailing Address - Phone:973-942-3767
Mailing Address - Fax:973-942-1027
Practice Address - Street 1:401 HALEDON AVE
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1553
Practice Address - Country:US
Practice Address - Phone:973-942-3767
Practice Address - Fax:973-942-1027
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA044774207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0183504Medicaid
NJC45125Medicare UPIN
NJ0183504Medicaid