National Provider Identifier
Wali M Ahmadzai
Wali M Ahmadzai is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 280-9684.
Profile Overview
- NPI
- 1194425082
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 08, 2023
- Last Updated
- March 08, 2023
Practice Location
- 101 Uptown RD Apt 9
- Ithaca, NY 14850-1604
Phone: (607) 280-9684
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1194425082
- Entity Type
- Individual
- Last Name
- Ahmadzai
- First Name
- Wali
- Middle Name
- M
- Mailing Street Address
- 101 Uptown RD Apt 9
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1604
- Mailing Country
- US
- Mailing Phone
- (607) 280-9684
- Practice Street Address
- 101 Uptown RD Apt 9
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1604
- Practice Country
- US
- Practice Phone
- (607) 280-9684
- Enumeration Date
- March 08, 2023
- Last Updated
- March 08, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)