Provider Demographics
NPI:1255355319
Name:AHMAD, MUHAMMAD RIAZ (MD)
Entity type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:RIAZ
Last Name:AHMAD
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 1:1380 COMPTON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231
Mailing Address - Country:US
Mailing Address - Phone:513-931-9600
Mailing Address - Fax:513-931-1898
Practice Address - Street 1:2446 KIPLING AVENUE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239
Practice Address - Country:US
Practice Address - Phone:513-931-9600
Practice Address - Fax:513-931-1898
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076496207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2387037Medicaid
AH4103122Medicare PIN
H80613Medicare UPIN