Ahmad Wardeh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD068460L Issued in PA

Legal business name

AHMAD WARDEH, MD

Practice address

7 Anthra Plaza Ctr
Ranshaw, PA 17866-4199

Phone

(570) 644-0988

Fax

(570) 688-0945

NPI assigned

Feb 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ahmad Wardeh, M.D.NPI 1255309779

Title

Physician

Phone

(570) 668-3347

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmad Wardeh, MD

  • Internal Medicine Physician
  • Ranshaw, PA
  • NPI 1255309779
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1144365552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ANTHRA PLAZA CTR",
            "city": "RANSHAW",
            "state": "PA",
            "postal_code": "178664199",
            "telephone_number": "570-644-0988",
            "fax_number": "570-688-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ANTHRA PLAZA CTR",
            "city": "RANSHAW",
            "state": "PA",
            "postal_code": "178664199",
            "telephone_number": "570-644-0988",
            "fax_number": "570-688-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD WARDEH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WARDEH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-668-3347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD068460L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001761591",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mouna Al-Agha, MD
• Wardeh Agha Medical Center LLC
• Ahmad Wardeh, MD

• Internal Medicine Physician in Ranshaw, PA
• Providers in Ranshaw, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.