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Individual

DR. INTEKHAB AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
211 S 9TH ST, SUITE 600, PHILADELPHIA, PA 19107-6810
(215) 955-1925
(215) 928-3160
Mailing address
211 S. 9TH STREET, SUITE 600, PHILADELPHIA, PA 19107-3810
(215) 955-1925
(215) 928-3160

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD419650
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD419650
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001910280
PA
05
8920109
NJ
Enumeration date
07/27/2006
Last updated
09/16/2014
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