Provider Demographics
NPI:1831421676
Name:ABDUL Q AHAD, MD, PC
Entity type:Organization
Organization Name:ABDUL Q AHAD, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:Q
Authorized Official - Last Name:AHAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PC
Authorized Official - Phone:202-722-0099
Mailing Address - Street 1:106 IRVING ST NW
Mailing Address - Street 2:SUITE 218 SOUTH TOWER
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:202-722-0099
Mailing Address - Fax:202-726-1116
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUITE 218 SOUTH TOWER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-722-0099
Practice Address - Fax:202-726-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC010782100Medicaid
B94305Medicare UPIN
DC010782100Medicaid
DC183377Medicare PIN