Madiha Ahmad
Internal Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1780064766
StatusActive
Last updated in NPPESJun 6, 2018
Details
- NPI
- 1780064766
- Entity type
- Individual (NPI-1)
- Name
- Madiha Ahmad
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2015
- Last updated
- Jun 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD188966 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239
Phone 503-494-8562 · Fax 503-494-6344
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-8562 · Fax 503-494-6344
Other practice locations
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