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Contact Information

IFTEKHAR Y AHMAD, MD
5666 EAST STATE STREET
ROCKFORD, IL61108-2425
 Phone: 815-226-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for IFTEKHAR Y AHMAD · (Male)

NPI # 1164641791
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2007
Last updated 02/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-125259
  • MI License # 4301086154
  • IL Medicaid 036125259
Hospital affiliation(s)
  • SAINT ANTHONY MEDICAL CENTER - (Acute Care)
    5666 EAST STATE STREET
    ROCKFORD, IL 61108
  • SWEDISH AMERICAN HOSPITAL - (Acute Care)
    1401 EAST STATE STREET
    ROCKFORD, IL 61104
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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