| Ahmed Medical Corporation | |
|
15201 11th St Ste 400 Victorville CA 92395-3735 | |
| (760) 955-7095 | |
| (760) 951-1076 |
| Full Name | Ahmed Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 15201 11th St Ste 400, Victorville, California |
| Authorized Official Name and Position | Kelly Ahmed (OWNER) |
| Authorized Official Contact | 7609561095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Medical Corporation 15201 11th St Ste 400 Victorville CA 92395-3735 Ph: (760) 955-7095 | Ahmed Medical Corporation 15201 11th St Ste 400 Victorville CA 92395-3735 Ph: (760) 955-7095 |
| NPI Number | 1346440500 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Medicare PECOS PAC ID | 1759440373 |
|---|---|
| Medicare Enrollment ID | O20081120000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346440500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A51407 (California) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A51617 (California) | Secondary |
| Provider Name | Omer Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962429431 PECOS PAC ID: 1951204098 Enrollment ID: I20040128000287 |
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