DR. IMTIAZ AHMAD (NPI# 1952817165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952817165 |
| Entity Type | Individual |
| Full Name | DR. IMTIAZ AHMAD |
| Credential | MBBS |
| Practice Address |
111 Michigan Ave Nw Washington DC 20010-2916 |
| Practice Telephone | 2024763094 |
| Mailing Telephone | 2024763094 |
| Mailing Fax Number | 2024765979 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
MTL004444 | DC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803212 | Imtiaz M Ahmad | Family Medicine | 11580 Overlook Drive, Suite100, Clarian Urgent Care, Fishers, IN 46038-4212 | 2005-12-29 |
| 1962494997 | Imtiaz Ahmad | Radiology | 127 South Broadway, Yonkers, NY 10701-4006 | 2005-08-16 |
| 1174521009 | Imtiaz Ahmad | Internal Medicine | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 | 2005-07-13 |
| 1699307504 | Imtiaz Ahmad | Pharmacist | 52950 Gratiot Ave, Chesterfield, MI 48051-2046 | 2020-02-08 |
| 1720146384 | Imtiaz Ahmad | Pathology | 308 Willow Ave., Hoboken, NJ 07030-3808 | 2006-12-05 |
| 1265509988 | Imtiaz Ahmad | Internal Medicine | 2832 Linden Blvd, Brooklyn, NY 11208-5132 | 2006-11-29 |
| 1184661704 | Imtiaz Ahmad | Internal Medicine | 1760 Whitehorse Hamilton Square Rd, Trenton, NJ 08690-3535 | 2006-06-01 |
| Street Address |
111 MICHIGAN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809197 | Jeffrey S Dome | Pediatrics | 111 Michigan Ave Nw, Children's National Medical Center, Washington, DC 20010-2916 | 2005-05-23 |
| 1679174700 | Nkemdilim Okonkwo | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-04 |
| 1740881127 | Imtinan Mohammed Barnawi | Student in an Organized Health Care Education/Training Program | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1922609312 | Madison Gogol | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1932700291 | Kimberly Ann Wood | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1336746999 | Yves Antoine D'udekem D'acoz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-10-07 |
| 1376150599 | Alexandra Gervais | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-30 |
| 1275140378 | Satoshi Miyairi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-23 |
| 1093321317 | Melissa Renee Dvorsky | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-22 |
| 1538775515 | Temitope Ajayi | Registered Nurse | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912226622 | Melissa Fleming | Physical Medicine & Rehabilitation | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2010-05-19 |
| 1881851525 | Justin M Burton | Physical Medicine & Rehabilitation | 111 Michigan Ave Nw, Suite 1090, Washington, DC 20010-2916 | 2008-05-20 |
| 1710041819 | Barbara M Koch | Physical Medicine & Rehabilitation | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-12-21 |
| 1184707390 | Sarah H Evans | Physical Medicine & Rehabilitation | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-23 |
| 1699858803 | Olga Morozova | Physical Medicine & Rehabilitation | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-23 |
| 1538242987 | Jeffrey P Rabin | Physical Medicine & Rehabilitation | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-21 |
| City | WASHINGTON |
| Zip Code | 20010 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.