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Organization
S.HASNAT AHMED, MD, APC
Active
Organization
S.HASNAT AHMED, MD, APC
Active
Other names
ONCOLOGY AND HEMATOLOGY OF IMPERIAL VALLEY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE J CHROSTOWSKI (BILLING MANAGER)
(858) 292-4022
Entity
Organization
Contact information
Practice address
1410 S LA BRUCHERIE RD, EL CENTRO, CA 92243-9676
(760) 335-3030
(760) 335-3035
Mailing address
PO BOX 23058, SAN DIEGO, CA 92193-3058
(858) 292-4022
(858) 292-1898
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A54334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A543340
—
CA
01
—
DD4504
RR MEDICARE GROUP #
CA
05
—
GR0099820
—
CA
01
—
P00228825
RR MEDICARE PIN #
CA
01
—
ZZZ64379Z
BLUE SHIELD GROUP #
CA
Enumeration date
08/16/2006
Last updated
08/22/2020
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