IndividualActive
Ahmed Othman, MD
NPI 1679374029 · Student in an Organized Health Care Education/Training Program · Idaho Falls, ID
Provider details
- NPI number
- 1679374029
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 227-2850
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Channing Way
Idaho Falls, ID 83404-7533
Registry dates
- Enumerated
- 2025-03-21
- Last updated
- 2025-03-21
- Certified
- 2025-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.