Moshtaq Ahmed, RSA
Physician Assistant, Surgical in Jamaica, NY. Individual provider (NPI-1).
NPI number1144073966
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1144073966
- Entity type
- Individual (NPI-1)
- Name
- Moshtaq Ahmed
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 5, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | O000219 | NY | Yes |
Practice location
17004 Henley RdJamaica, NY 11432-2786
Phone 718-523-1216
Mailing address
4 Goerge CtMelville, NY 11747
Phone 347-744-3294
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