Dr ATIQUE AHMAD is a male medical professional, specializing in Internal Medicine. He graduated in 2003.
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA
WA
985065101
Tel: 3607937230
| Npi | 1457546590 |
| Pac Id | 0840372637 |
| Professional Enrollment Id | I20091022000564 |
| Last Name | AHMAD |
| First Name | ATIQUE |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Group Practice Pac Id | 6709782600 |
| Number Of Group Practice Members | 300 |
| Line 1 Street Address | 525 LILLY RD NE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OLYMPIA |
| State | WA |
| Zip Code | 985065101 |
| Phone Number | 3607937230 |
| Hospital Affiliation Ccn 1 | 500024 |
| Hospital Affiliation Lbn 1 | PROVIDENCE ST PETER HOSPITAL |
| Hospital Affiliation Ccn 2 | 500129 |
| Hospital Affiliation Lbn 2 | TACOMA GENERAL ALLENMORE HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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