# AHMAD H AHMAD MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447532924
- **Authorized official:** DR. AHMAD H AHMAD MD (OWNER)
- **Authorized official phone:** (217) 428-7921

## Contact information

- **Practice address:** 1770 E LAKE SHORE DR, STE 201, DECATUR, IL 62521-3832
- **Practice address phone:** (217) 428-7921
- **Practice address fax:** (217) 428-7931
- **Mailing address:** 1770 E LAKE SHORE DR, STE 201, DECATUR, IL 62521-3832
- **Mailing address phone:** (217) 428-7921
- **Mailing address fax:** (217) 428-7931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 36108732 | IL | Yes |

## Other

- **Enumeration date:** 09/12/2011
- **Last updated:** 12/08/2011