Provider Demographics
NPI:1811948615
Name:AHMAD, KAZI WAQAR (MD)
Entity type:Individual
Prefix:DR
First Name:KAZI
Middle Name:WAQAR
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 1:1910 CHEROKEE AVE S@
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055
Mailing Address - Country:US
Mailing Address - Phone:256-739-3500
Mailing Address - Fax:356-775-6119
Practice Address - Street 1:10125 W COLONIAL DR STE 212
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4200
Practice Address - Country:US
Practice Address - Phone:833-769-3524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000243282084P0800X
FLME1143102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51537567OtherBCBS
AL1532606OtherUBH - PLUS SERVICES
AL1522606OtherUBH - BASIC SERVICES
AL009940374Medicaid
AL051557050Medicaid
AL332100641Medicaid
AL51557050OtherBCBS OF ALABAMA
AL51537567OtherBCBS
ALH63859Medicare UPIN
AL332100641Medicaid