Organization
AHMED MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY AHMED MD (OWNER)
(760) 956-1095
Entity
Organization
Contact information
Practice address
15201 11TH ST STE 400, VICTORVILLE, CA 92395-3735
(760) 955-7095
(760) 951-1076
Mailing address
15201 11TH ST STE 400, VICTORVILLE, CA 92395-3735
(760) 955-7095
(760) 951-1076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A51407
CA
207RC0000X
Cardiovascular Disease Physician
A51617
CA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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