Dr Tanveer Ahmad PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036072630 Issued in IL

Legal business name

DR TANVEER AHMAD PC

Practice address

335 Blakely St
Suite a
Woodstock, IL 60098-3713

Phone

(815) 338-0900

Fax

(815) 338-5390

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tanveer Ahmad, MD

Title

Owner

Phone

(815) 338-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Syed Waseem Haider, M.D.

  • Internal Medicine Physician
  • Crystal Lake, IL
  • NPI 1912017898

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1720203086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BLAKELY ST",
            "address_2": "SUITE A",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983713",
            "telephone_number": "815-338-0900",
            "fax_number": "815-338-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BLAKELY ST",
            "address_2": "SUITE A",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983713",
            "telephone_number": "815-338-0900",
            "fax_number": "815-338-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TANVEER AHMAD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "TANVEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-338-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036072630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072630",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Dooley, PSYD
• Elizabeth Dorantes de Inzunza, LCSW, CADC
• Dorr-Wood LTD
• Dorr-Wood LTD.
• Janyce B Dorr, CRNA
• Christy Marie Drach
• John Druszczak
• Jane Lois Dwyer, P.T.
• Roman J Dykun, MD
• Lauren Easton

• All providers in Woodstock, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.