Nasir Iqbal Ahmad, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

125-058479 Issued in IL

Practice address

5220 S 6TH Street Rd
Suite 1200
Springfield, IL 62703-5735

Phone

(217) 545-7644

Fax

(217) 585-6890

NPI assigned

Aug 11, 2010

Last updated

May 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1174838452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19674",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949674",
            "telephone_number": "217-545-7644",
            "fax_number": "217-585-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 S 6TH STREET RD",
            "address_2": "SUITE 1200",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035735",
            "telephone_number": "217-545-7644",
            "fax_number": "217-585-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "NASIR",
        "middle_name": "IQBAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "125-058479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank V Aguirre, M.D.
• Sajida Ahad, M.D.
• Mohamed Farooq Ahamed, M.D.
• Marci Diane Aherin, PT
• Haleema Ahmad, DO
• Saad Ahmad, M.D
• Syeda Ahmad, PHARMD
• Farhan Ahmed
• Hana Ahmed, MD
• Mosaab Ahmed, M.D.

• Child & Adolescent Psychiatry Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.