Individual
DR. AHMAD H AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1770 E LAKE SHORE DR, SUITE 201, DECATUR, IL 62521-3832
(217) 428-7921
(217) 428-7931
Mailing address
1770 E LAKE SHORE DR, SUITE 201, DECATUR, IL 62521-3832
(217) 428-7921
(217) 428-7931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030108732
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108732
—
IL
01
—
05832029
BLUE CROSS/BLUE SHIELD
IL
01
—
113690990
FED TAX ID #
ID
01
—
612624
HEALTHLINK
IL
Enumeration date
12/21/2005
Last updated
07/19/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us