1871797746 NPI number — DR. JAMIL AHMAD MD

Table of content: DR. JAMIL AHMAD MD (NPI 1871797746)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871797746 NPI number — DR. JAMIL AHMAD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AHMAD
Provider First Name:
JAMIL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1871797746
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 GEORGE STREET, APT. S-512
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TORONTO
Provider Business Mailing Address State Name:
ONTARIO
Provider Business Mailing Address Postal Code:
L4Y2K6
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
647-239-7710
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
THE PLASTIC SURGERY CLINIC
Provider Second Line Business Practice Location Address:
1421 HURONTARIO STREET
Provider Business Practice Location Address City Name:
MISSISSAUGA
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
L5G3H5
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
905-278-7077
Provider Business Practice Location Address Fax Number:
905-275-1582
Provider Enumeration Date:
06/13/2007

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: 208200000X , with the licence number:  92860 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: BP1-0022860 . This is a "INSTITUTIONAL PERMIT" identifier . This identifiers is of the category "OTHER".




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