Individual
DR. KABIR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18300 US HIGHWAY 18, ST MARY MEDICAL CENTER, APPLE VALLEY, CA 92307-2206
(760) 242-2311
Mailing address
20124 SAN VICENTE CIR, WALNUT, CA 91789-1843
(626) 589-8935
(866) 880-2840
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A69357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A693570
BLUE SHIELD
CA
05
—
00A693570
—
CA
01
—
00A693570328
CALOPTIMA
CA
01
—
050089049
RAILROAD MEDICARE
CA
Enumeration date
06/16/2006
Last updated
05/04/2012
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