Individual
KABIR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5020
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
IL
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
63942
WI
208M00000X
Hospitalist Physician
63942
WI
Other
Enumeration date
04/11/2012
Last updated
10/27/2020
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