Provider Demographics
NPI:1932373305
Name:AHMAR, CORINNE A (MD)
Entity Type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:A
Last Name:AHMAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR
Mailing Address - Street 2:# 2110
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:857-204-2298
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:UNIVERSITY OF FLORIDA SHANDS HOSP, DIV. OF NEPHROLOGY
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0277
Practice Address - Country:US
Practice Address - Phone:352-273-8821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD70597207R00000X
MA225230207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty