Individual
DR. KHAJA MOHAMMED AHSANUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113B FOOTHILLS DR, MORGANTON, NC 28655-5152
(828) 433-5899
(828) 437-4443
Mailing address
113B FOOTHILLS DR, MORGANTON, NC 28655-5152
(828) 433-5899
(828) 437-4443
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28725
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016P5
GROUP ID NUMBER WITH BCBS
NC
01
—
10439
INDIVIDUAL ID # WITH BCBS
NC
05
—
8910439
—
NC
Enumeration date
05/17/2006
Last updated
10/08/2009
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