Provider Demographics
NPI:1669755476
Name:BILAL AHMAD MD, PA
Entity type:Organization
Organization Name:BILAL AHMAD MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BILAL
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-529-8923
Mailing Address - Street 1:1351 MASON FARM RD
Mailing Address - Street 2:APT# 122
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4718
Mailing Address - Country:US
Mailing Address - Phone:336-529-8923
Mailing Address - Fax:919-967-1753
Practice Address - Street 1:2041 WILLOW RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-3831
Practice Address - Country:US
Practice Address - Phone:336-529-8923
Practice Address - Fax:919-967-1753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty