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Contact Information

MUDASSAR R AHMAD, MB,BS
1708 YAKIMA AVE STE 300
TACOMA, WA98405-5309
 Phone: 253-363-8700
 Fax: 253-272-0419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MUDASSAR R AHMAD · (Male)

NPI Number 1093155483
Status Active
Credentials MB,BS
Entity Individual
Enumeration date 06/28/2013
Last updated 08/18/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 76305
  • PA License # MD458440
  • WA License # MD61659187
  • WI License # 75089
Hospital affiliation(s)
  • MINISTRY SAINT JOSEPH'S HOSPITAL - (Acute Care)
    611 ST JOSEPH AVE
    MARSHFIELD, WI 54449
  • ST CLARE'S HOSPITAL OF WESTON INC - (Acute Care)
    3400 MINISTRY PARKWAY
    WESTON, WI 54476
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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