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Dr. Safique Ahmed, MD
Hematology & Oncology Physician in Logan, West Virginia
NPI 1720016843

Safique Ahmed is a Hematology & Oncology Physician based in Charleston, WV and is specialized in Hematology & Oncology. Safique Ahmed practices in Logan, WV and has the professional credentials of MD. The NPI Number for Safique Ahmed is 1720016843 and holds a License No. 20171 (West Virginia).

The current practice location address for Safique Ahmed is 77 Hospital Dr Ste 301, Logan, WV and can be reached out via phone at 304-792-1132 and via fax at 304-792-1133.

Location: 77 Hospital Dr Ste 301, Logan, WV, 25358-0176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720016843
Provider Name
Safique Ahmed
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
77 Hospital Dr Ste 301, Logan, WV, 25358-0176
Phone Number
304-792-1132
Fax Number
304-792-1133
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64017122 01 WV KENTUCKY MEDICAID
1801195001 05 WV
institution
Provider Business Practice Location Address Details
Address
77 Hospital Dr Ste 301
City
Logan
State
West Virginia
Zip
25601-3451
Phone Number
304-792-1132
Fax Number
304-792-1133
person
Provider Business Mailing Address Details
Address
77 Hospital Dr Ste 301
City
Logan
State
West Virginia
Zip
25601-3451
Phone Number
304-792-1132
Fax Number
304-792-1133
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
20171 (West Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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