Individual
HODA AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1311 S LINCOLN ST, ELKHORN, WI 53121-4375
(262) 723-4600
(262) 723-4710
Mailing address
1311 S LINCOLN ST, ELKHORN, WI 53121-4375
(262) 723-4600
(262) 723-4710
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
56317
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447459912
—
WI
Enumeration date
07/16/2007
Last updated
02/28/2023
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