Hani Ahmad, MD
Psychiatry & Neurology, Psychiatry in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1790711604
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1790711604
- Entity type
- Individual (NPI-1)
- Name
- Hani Ahmad
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2006
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 01060341A | IN | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME111572 | FL |
Practice location
1720 Beacon StFort Wayne, IN 46805-4749
Phone 260-373-8000 · Fax 260-373-8034
Mailing address
15024 Remington PlFort Wayne, IN 46814-7599
Phone 317-437-8061 · Fax 727-877-5302
Other practice locations
707 N Michigan St Ste 400
South Bend, IN 46601-1071
South Bend, IN 46601-1071
Phone 574-647-8470 · Fax 574-647-8475
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