Wali M Ahmadzai
Wali M Ahmadzai is a Physician Assistant in Ithaca, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
101 Uptown Rd Apt 9Ithaca, NY 14850-1604
Phone: (607) 280-9684
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1194425082 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2023 |
| Last updated in NPPES | March 8, 2023 |
| Certification date | March 8, 2023 |
| Mailing address | 101 Uptown Rd Apt 9, Ithaca, NY 14850-1604 |
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