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Organization

AHMAD H AHMAD MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AHMAD H AHMAD MD (OWNER)
(217) 428-7921
Entity
Organization

Contact information

Practice address
1770 E LAKE SHORE DR, STE 201, DECATUR, IL 62521-3832
(217) 428-7921
(217) 428-7931
Mailing address
1770 E LAKE SHORE DR, STE 201, DECATUR, IL 62521-3832
(217) 428-7921
(217) 428-7931

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36108732
IL

Other

Enumeration date
09/12/2011
Last updated
12/08/2011
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