Individual
DR. SYED AHMED ATHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6097
(909) 777-3273
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6097
(909) 777-3273
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01065071A
IN
207RC0000X
Cardiovascular Disease Physician
A108169
CA
207RI0011X
Interventional Cardiology Physician
Primary
A108169
CA
207RI0011X
Interventional Cardiology Physician
E-8144
AR
207RI0011X
Interventional Cardiology Physician
MD192265
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200244001
—
AR
Enumeration date
03/31/2008
Last updated
06/11/2020
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