Individual
AMTUL AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 346-1468
(510) 895-7286
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 346-1468
(510) 895-7286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C53726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C53726
LICENSE
CA
Enumeration date
12/09/2009
Last updated
12/09/2009
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