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Individual

ASRA SUMREEN AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2550 E FOOTHILL BLVD FL 2, PASADENA, CA 91107-3406
(626) 744-5230
Mailing address
2202 N HALSTED ST STE 1, CHICAGO, IL 60614-3625

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.140170
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036.140170
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A159755
CA

Other

Enumeration date
05/31/2013
Last updated
01/06/2022
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