1558439133 NPI number — ROMMAAN S AHMAD DO

Table of content: ROMMAAN S AHMAD DO (NPI 1558439133)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558439133 NPI number — ROMMAAN S AHMAD DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AHMAD
Provider First Name:
ROMMAAN
Provider Middle Name:
S
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558439133
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8926 WOODYARD RD
Provider Second Line Business Mailing Address:
SUITE 701
Provider Business Mailing Address City Name:
CLINTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20735-4220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-856-1682
Provider Business Mailing Address Fax Number:
301-856-0964

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8926 WOODYARD RD
Provider Second Line Business Practice Location Address:
SUITE 701
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20735-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-856-1682
Provider Business Practice Location Address Fax Number:
301-856-0964
Provider Enumeration Date:
12/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  5101015235 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208VP0000X , with the licence number: H72937 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1939812 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 231834YZW . This is a "METRO MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9339815 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: CI2264 . This is a "RAILROAD MEDICARE GROUP PTAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8190869 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 975577-01 . This is a "CAREFIRST MARYLAND" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00992726 . This is a "RAILROAD MEDICARE INDIVIDUAL PTAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11688989 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 975577-02 . This is a "CAREFIRST MARYLAND" identifier . This identifiers is of the category "OTHER".
  • Identifier: 46950049 . This is a "CAREFIRST NCA" identifier . This identifiers is of the category "OTHER".




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