Individual
AHMAD IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9133
Mailing address
7550 HILLSIDE RD APT 1812, AMARILLO, TX 79119-8325
(806) 679-0576
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/04/2014
Last updated
07/04/2014
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