Individual
MUHAMMAD ALTAF AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1623 NASHVILLE ST, STE 204 AND 205, RUSSELLVILLE, KY 42276
(270) 726-1785
(270) 726-2278
Mailing address
825 SECOND AVE, STE B1, BOWLING GREEN, KY 42101
(270) 782-0151
(270) 782-7528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31168
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
31168
KY
207RP1001X
Pulmonary Disease Physician
Primary
31168
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64311681
—
KY
Enumeration date
08/18/2005
Last updated
08/28/2013
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