Individual
DR. MOHAMAD KHALED AL-AHDAB
Active
Individual
DR. MOHAMAD KHALED AL-AHDAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
036105004
IL
2080P0202X
Pediatric Cardiology Physician
Primary
04-32074
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200096860B
—
OK
05
—
200414260C
—
KS
01
—
KS1949
PTAN
KS
Enumeration date
07/08/2006
Last updated
04/09/2021
Update your record
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