Nikita Ahmad, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI 1821676545 · NPPES record last updated Apr 1, 2021

Key facts

NPI
1821676545
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
Stony Brook Medicine Department of Surgery HSC T-19, 03
Stony Brook, NY 11794-8191
Phone
(631) 444-1791
Fax
(631) 444-7689
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

Stony Brook Medicine Department of Surgery HSC T-19, 03
Stony Brook, NY 11794-8191

Mailing address

Stony Brook Medicine Department of Surgery HSC T-19, 03
Stony Brook, NY 11794-8191
Phone (631) 444-1791

Other providers in Stony Brook, NY

All providers in Stony Brook, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.