Provider Demographics
NPI:1073907077
Name:AHMAD, MIRZA NAYYAR DAUD (MD)
Entity type:Individual
Prefix:DR
First Name:MIRZA NAYYAR
Middle Name:DAUD
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DAPHNE CT
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4105
Mailing Address - Country:US
Mailing Address - Phone:620-339-4574
Mailing Address - Fax:
Practice Address - Street 1:AQSA ROAD
Practice Address - Street 2:
Practice Address - City:RABWAH
Practice Address - State:PUNJAB
Practice Address - Zip Code:35460
Practice Address - Country:PK
Practice Address - Phone:319-702-9668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN67251208600000X, 2086S0102X
ZZ747066-07-M208600000X
WV273812086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care