Organization
AHMAD & RANA PEDIATRICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFIQUE AHMAD MD (PRESIDENT)
(618) 451-4824
Entity
Organization
Contact information
Practice address
3165 MYRTLE AVE, GRANITE CITY, IL 62040
(618) 876-7500
(618) 876-0807
Mailing address
3165 MYRTLE AVE, GRANITE CITY, IL 62040
(618) 876-7500
(618) 876-0807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
02/02/2011
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