Wali M Ahmadzai

NPI #1194425082 in Ithaca, New York

Provider Information

NPI Number: 1194425082
Entity Type: Individual
Name: Wali M Ahmadzai
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Mar 8, 2023
Last Updated: Mar 8, 2023

Practice Location

Address: 101 UPTOWN RD APT 9
City: Ithaca
State: New York
ZIP Code: 14850-1604
Phone: (607) 280-9684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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