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Organization

ABSOLUTE PAIN MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MUHAMMOD A AHMAD M.D. (OWNER/PHYSICIAN)
(260) 422-4757
Entity
Organization

Contact information

Practice address
2418 LAKE AVE, FORT WAYNE, IN 46805-5406
(260) 422-4757
(260) 422-8375
Mailing address
2418 LAKE AVE, FORT WAYNE, IN 46805-5406
(260) 422-4757
(260) 422-8375

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01061654B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000850468
BLUE CROSS BLUE SHIELD
IN
01
12626905
CAQH
05
201206330A
IN
Enumeration date
01/03/2014
Last updated
11/19/2024
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