| Javed Ahmad A Professional Medical Corporation | |
|
81833 Dr Carreon Blvd Ste 2 Indio CA 92201-0602 | |
| (760) 863-0155 | |
| (760) 863-0199 |
| Full Name | Javed Ahmad A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 81833 Dr Carreon Blvd, Indio, California |
| Authorized Official Name and Position | Javed Ahmad (OWNER/PROVIDER) |
| Authorized Official Contact | 7608630155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Javed Ahmad A Professional Medical Corporation Po Box 14117 Palm Desert CA 92255-4117 Ph: (760) 863-0155 | Javed Ahmad A Professional Medical Corporation 81833 Dr Carreon Blvd Ste 2 Indio CA 92201-0602 Ph: (760) 863-0155 |
| NPI Number | 1164956637 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 08/07/2017 |
| Medicare PECOS PAC ID | 2365713286 |
|---|---|
| Medicare Enrollment ID | O20170810000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164956637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A55292 (California) | Primary |
| Provider Name | Javed Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346354479 PECOS PAC ID: 5991848137 Enrollment ID: I20100210000173 |
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