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DR. EZAD N AHMAD M.D.
Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1770597361
Individual Registrant:DR. EZAD N AHMAD M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1411 CHATTANOOGA AVE DALTON, GA 30720 US
Tel: 706-272-0272 Fax: 706-272-0276
Tel: 706-272-0272 Fax: 706-272-0276
Contact information for business:
1411 CHATTANOOGA AVENUE DALTON, GA 30720 US
Tel: 706-272-0272 Fax: 706-272-0276
Tel: 706-272-0272 Fax: 706-272-0276
Registration Information:
NPI: 1770597361
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207RC0000X | Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease | GA | 038162 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000653397D | GA | 05 |
