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Organization
JAVED AHMAD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
JAVED AHMAD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVED AHMAD MD (OWNER/PROVIDER)
(760) 863-0155
Entity
Organization
Contact information
Practice address
81833 DR CARREON BLVD, STE 2, INDIO, CA 92201-0602
(760) 863-0155
(760) 863-0199
Mailing address
PO BOX 14117, PALM DESERT, CA 92255-4117
(760) 863-0155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A55292
CA
Other
Enumeration date
04/12/2017
Last updated
08/07/2017
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