| Ahmad H Ahmad Md Sc | |
|
1770 E Lake Shore Dr Ste 201 Decatur IL 62521-3832 | |
| (217) 428-7921 | |
| (217) 428-7931 |
| Full Name | Ahmad H Ahmad Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1770 E Lake Shore Dr, Decatur, Illinois |
| Authorized Official Name and Position | Ahmad H Ahmad (OWNER) |
| Authorized Official Contact | 2174287921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad H Ahmad Md Sc 1770 E Lake Shore Dr Ste 201 Decatur IL 62521-3832 Ph: (217) 428-7921 | Ahmad H Ahmad Md Sc 1770 E Lake Shore Dr Ste 201 Decatur IL 62521-3832 Ph: (217) 428-7921 |
| NPI Number | 1447532924 |
|---|---|
| Provider Enumeration Date | 09/12/2011 |
| Last Update Date | 12/08/2011 |
| Medicare PECOS PAC ID | 5991979734 |
|---|---|
| Medicare Enrollment ID | O20111114000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447532924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36108732 (Illinois) | Primary |
| Provider Name | Ahmad H Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053397018 PECOS PAC ID: 0941251391 Enrollment ID: I20050203000165 |
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