Individual
DR. TAREK MOHAMAD AHDAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036105726
IL
207RC0000X
Cardiovascular Disease Physician
036105726
IL
207RI0011X
Interventional Cardiology Physician
Primary
036105726
IL
207UN0901X
Nuclear Cardiology Physician
036105726
IL
2085R0204X
Vascular & Interventional Radiology Physician
036105726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H65174
UPIN
IL
01
—
L92325
PROVIDER NUMBER
IL
Enumeration date
04/17/2007
Last updated
08/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us