Provider Demographics
NPI:1982015962
Name:AHMAD, NAZIR (MD/MBBS)
Entity Type:Individual
Prefix:
First Name:NAZIR
Middle Name:
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD/MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SEAVIEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305
Mailing Address - Country:US
Mailing Address - Phone:718-226-6205
Mailing Address - Fax:718-226-8695
Practice Address - Street 1:1000 N LEE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1080
Practice Address - Country:US
Practice Address - Phone:405-272-6406
Practice Address - Fax:405-272-6075
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2023-04-17
Deactivation Date:2014-12-17
Deactivation Code:
Reactivation Date:2015-01-23
Provider Licenses
StateLicense IDTaxonomies
OK32817207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine