Organization
ABSOLUTE PAIN MANAGEMENT, LLC
Active
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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