Individual
AHMAD FORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
141 LILLY RD NE, OLYMPIA, WA 98506-5028
(360) 413-8880
(360) 810-3697
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD60628996
WA
207RX0202X
Medical Oncology Physician
Primary
MD60628996
WA
Other
Enumeration date
07/29/2009
Last updated
06/01/2023
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