Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayesha Imtiaz, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497332167

Ayesha Imtiaz, MD is a Student in an Organized Health Care Education/Training Program in Brick, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone: (732) 840-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1497332167
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 24, 2021

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