# ANTIOCH MEDICAL AND HOSPITAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1902995962
- **Authorized official:** MOHAMMED HABEEB AHMED M.D. (OWNER)
- **Authorized official phone:** (408) 836-1134

## Contact information

- **Practice address:** 601 W 2ND ST, ANTIOCH, CA 94509-1286
- **Practice address phone:** (925) 757-4099
- **Practice address fax:** (925) 757-4788
- **Mailing address:** 601 W 2ND ST, ANTIOCH, CA 94509-1286
- **Mailing address phone:** (925) 757-4099
- **Mailing address fax:** (925) 757-4788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/23/2016