Provider Demographics
NPI:1023174950
Name:GILANI, AHMED Z (MD)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:Z
Last Name:GILANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W PLAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-4446
Mailing Address - Country:US
Mailing Address - Phone:617-472-3400
Mailing Address - Fax:617-472-3411
Practice Address - Street 1:700 CONGRESS STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:781-461-0800
Practice Address - Fax:617-472-3411
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79770207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine