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Organization
KIDNEY CENTER PLLC
Active
Organization
KIDNEY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED I AHMED MD (MD)
(423) 307-8951
Entity
Organization
Contact information
Practice address
1751 WEST MORRIS BLVD. SUITE 4, MORRISTOWN, TN 37813
(423) 307-8951
(423) 307-8978
Mailing address
1751 WEST MORRIS BLVD SUITE 4, MORRISTOWN, TN 37813
(423) 307-8951
(423) 307-8978
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD35880
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506063
—
TN
01
—
38801040
MEDICARE GROUP
TN
01
—
38801041
MEDICARE INDV.
TN
Enumeration date
06/04/2008
Last updated
06/04/2009
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