Individual
AHMED TM ROBBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 W 32ND ST, STE 403, JOPLIN, MO 64804
(417) 782-5500
(417) 782-8516
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 782-5500
(417) 782-8516
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2002014799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189167
ANTHEM
MO
05
—
200009130A
—
OK
05
—
200260910A
—
KS
05
—
205867609
—
MO
01
—
P00116562
RR MEDICARE
—
Enumeration date
07/04/2006
Last updated
01/14/2022
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