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1629606041
AHMED IMTIAZ
SALEM, VA
NPI
1629606041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
AHMED IMTIAZ MD
1906 BRAEBURN DR
SALEM, VA 24153-7304
Phone number: 540-444-2359
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Mailing Address
AHMED IMTIAZ MD
1906 BRAEBURN DR
SALEM, VA 24153-7304
Phone number: 540-444-2359
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