Individual
SHADI AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 N CARPENTER RD BLDG D1600N, MODESTO, CA 95351-1185
(209) 523-4573
Mailing address
1600 N CARPENTER RD STE D, MODESTO, CA 95351-1185
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
05/19/2025
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