IndividualActive
Ahmad Wattad, MD
NPI 1174511588 · Pediatric Nephrology Physician · Johnson City, TN
Provider details
- NPI number
- 1174511588
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD20802 (TN)
Practice location
325 N State of Franklin Rd
Ground Floor
Johnson City, TN 37604-6062
Phone: (423) 439-7320
Fax: (423) 439-7343
Mailing address
Po Box 699
Mountain Home, TN 37684-0699
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.