Individual
AMBREEN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(816) 318-3109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2008004908
MO
2084P0804X
Child & Adolescent Psychiatry Physician
2008004908
MO
Other
Enumeration date
08/31/2006
Last updated
04/25/2018
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