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Organization

AHMAD PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YAHYA M. AHMAD M.D. (OWNER)
(918) 458-9994
Entity
Organization

Contact information

Practice address
302 E DOWNING ST, TAHLEQUAH, OK 74464-3014
(918) 458-9444
(918) 458-9445
Mailing address
302 E DOWNING ST, TAHLEQUAH, OK 74464-3014
(918) 458-9444
(918) 458-9445

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
23648
OK

Other

Enumeration date
07/09/2009
Last updated
07/09/2009
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