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Contact Information

OMAR S AHMAD, MD
75 N COUNTRY RD
PORT JEFFERSON, NY11777-2119
 Phone: 631-473-1320
 Fax: 631-686-7653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for OMAR S AHMAD · (Male)

NPI Number 1043531254
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2010
Last updated 02/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 071090
  • NY License # 294785
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • HAMILTON MEDICAL CENTER - (Acute Care)
    1200 MEMORIAL DRIVE
    DALTON, GA 30720
  • HAMILTON MEDICAL CENTER - (Acute Care)
    1200 MEMORIAL DRIVE
    DALTON, GA 30720
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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