Organization
KIDNEY CARE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM AHMAD M.D. (PRESIDENT)
(937) 643-0015
Entity
Organization
Contact information
Practice address
1362 E STROOP RD, KETTERING, OH 45429-4926
(937) 643-0015
(937) 643-0016
Mailing address
1362 E STROOP RD, KETTERING, OH 45429-4926
(937) 643-0015
(937) 643-0016
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015589
—
OH
Enumeration date
10/12/2009
Last updated
01/21/2015
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