NPI 1851962724 · live from the CMS NPI Registry
Maida Imtiaz Ahmad, OD
Optometrist in Canton, GA. National Provider Identifier 1851962724, active.
NPI record
| NPI | 1851962724 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 201 Kimberly Way Ste 200, Canton, GA 30114 |
| Practice phone | 678-381-2020 |
| Mailing address | 1300 Peachtree Industrial Blvd Ste 1201, Suwanee, GA 30024 |
| Enumerated | July 1, 2021 |
| Last updated | June 15, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT003333 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.