Provider Demographics
NPI:1932362530
Name:AHMAD, NAUMAN (MD)
Entity Type:Individual
Prefix:
First Name:NAUMAN
Middle Name:
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 1:32124 1ST AVE S STE 100
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5761
Mailing Address - Country:US
Mailing Address - Phone:253-661-5939
Mailing Address - Fax:253-661-5929
Practice Address - Street 1:32124 1ST AVE S STE 100
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5761
Practice Address - Country:US
Practice Address - Phone:253-661-5939
Practice Address - Fax:253-661-5929
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260056208000000X
NY26005612080P0202X
WA609266352080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2127660Medicaid
NY03374105Medicaid