Individual
SAMEENA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 7TH STREET, MOLINE, IL 61265
(309) 762-8555
(563) 324-2948
Mailing address
1814 E LOCUST ST, DAVENPORT, IA 52803
(563) 324-0471
(563) 324-2948
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036063289
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063289
—
IL
Enumeration date
01/13/2006
Last updated
08/05/2010
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