Individual
DR. EDNAN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1802 S ESCONDIDO BLVD, ESCONDIDO, CA 92025-6536
(760) 743-4393
Mailing address
PO BOX 462866, ESCONDIDO, CA 92046-2866
(617) 962-3708
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
231585
MA
207W00000X
Ophthalmology Physician
Primary
A107504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001485
MEDICARE
MA
05
—
2142724
—
MA
01
—
AA99156
HARVARD PILGRIM
MA
01
—
J42430
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
12/28/2006
Last updated
08/06/2025
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