1. Home
  2. Directory
  3. New York
  4. Ithaca
  5. Physician Assistant
  6. NPI Profile

WALI M AHMADZAI
NPI 1194425082
Physician Assistant in Ithaca, NY

Active since March 08, 2023
101 UPTOWN RD APT 9, ITHACA, NY 14850(607) 280-9684 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wali M Ahmadzai NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALI M AHMADZAI (NPI 1194425082) is an individual physician assistant in Ithaca, New York and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1194425082
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWALI M AHMADZAI
Location Address101 UPTOWN RD APT 9Ithaca, NY 14850-1604
Mailing Address101 Uptown Rd Apt 9Ithaca, NY 14850-1604 · (607) 280-9684
Phone(607) 280-9684
Sole ProprietorYes
Enumeration DateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1194425082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 UPTOWN RD APT 9, Ithaca, NY 14850
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wali Ahmadzai's NPI number?

The NPI number for Wali Ahmadzai is 1194425082. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Wali Ahmadzai located?

Wali Ahmadzai practices at 101 Uptown Rd Apt 9, Ithaca, NY 14850. The listed phone number is (607) 280-9684.

What is Wali Ahmadzai's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Wali Ahmadzai was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.