Individual provider · NPI-1

Masroor Sohail Ahmed

Psychiatry & Neurology, Psychiatry · Chicago, IL

NPI number1720690928
StatusActive
Last updated in NPPESApr 3, 2025

Details

NPI
1720690928
Entity type
Individual (NPI-1)
Name
Masroor Sohail Ahmed
Sex
Male
Sole proprietor
No
Enumeration date
Aug 19, 2020
Certification date
Apr 3, 2025
Last updated
Apr 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry036169630ILYes
2084P0800X Psychiatry & Neurology, Psychiatry036.169630OH
390200000X Student in an Organized Health Care Education/Training Program––
2084N0400X Psychiatry & Neurology, Neurology036.169630IL

Practice location

2701 W 68th St
Chicago, IL 60629-1813

Phone 773-884-7640 · Fax 773-884-8317

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Phone 216-778-4486

Other practice locations

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Phone 216-778-4486

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