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Organization
AHMAD H AHMAD MD SC
Active
Organization
AHMAD H AHMAD MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD H AHMAD MD (OWNER)
(217) 428-7921
Entity
Organization
Contact information
Practice address
1770 E LAKE SHORE DR, STE 201, DECATUR, IL 62521-3832
(217) 428-7921
(217) 428-7931
Mailing address
1770 E LAKE SHORE DR, STE 201, DECATUR, IL 62521-3832
(217) 428-7921
(217) 428-7931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36108732
IL
Other
Enumeration date
09/12/2011
Last updated
12/08/2011
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