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Individual

AHMED ELISA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1620 BRIGHAM DR STE 130, PERRYSBURG, OH 43551-7124
(419) 893-7211
(419) 893-8882
Mailing address
100 MADISON AVE, TOLEDO, OH 43604-1516

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35.147046
OH
207K00000X
Allergy & Immunology Physician
4301502151
MI
208000000X
Pediatrics Physician
4301502151
MI

Other

Enumeration date
05/26/2017
Last updated
11/09/2023
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