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Individual

DR. AHMAD H. AHMADI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1112 SOLDIERS FIELD DR, SUGAR LAND, TX 77479-4001
(281) 265-2639
(281) 313-6665
Mailing address
1112 SOLDIERS FIELD DR, SUGAR LAND, TX 77479-4001
(281) 265-2639
(281) 313-6665

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L1510
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0054HX
BLUE CROSS BLUE SHIELD
TX
05
1576183-01
TN
Enumeration date
06/27/2005
Last updated
06/15/2012
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