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Individual
AHMAD ALWAKKAF
Active
Individual
AHMAD ALWAKKAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036131099
IL
208M00000X
Hospitalist Physician
Primary
036131099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400092164
FPN INDIVIDUAL MEDICARE PTAN
—
Enumeration date
05/31/2013
Last updated
10/30/2020
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