Organization
EBRAHIM AHMADI, M D INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBRAHIM AHMADI MD (CEO)
(510) 791-2002
Entity
Organization
Contact information
Practice address
38143 MARTHA AVE, FREMONT, CA 94536-3800
(510) 791-2002
Mailing address
38143 MARTHA AVE, FREMONT, CA 94536-3800
(510) 791-2002
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AO50313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A503131
—
CA
Enumeration date
08/25/2008
Last updated
11/11/2022
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