Individual
AHMAD JAMAL MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
4415 MLK JR WAY, OAKLAND, CA 94609-1837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95181547
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001694
CA
Other
Enumeration date
07/28/2021
Last updated
08/10/2022
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