Provider Demographics
NPI:1427064617
Name:AHMAD, SARFARAZ (MD)
Entity type:Individual
Prefix:
First Name:SARFARAZ
Middle Name:
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:PO BOX 2651
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-0151
Mailing Address - Country:US
Mailing Address - Phone:609-213-1630
Mailing Address - Fax:215-579-1632
Practice Address - Street 1:1 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-213-1630
Practice Address - Fax:215-579-1632
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02557100208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134161OtherHORIZON MERCY
P2358694OtherOXFORD
NJ2813301Medicaid
4058906OtherAETNA
C53475Medicare UPIN
135632110Medicare ID - Type Unspecified
NJ135632Medicare PIN