Individual
DR. MOHAMMED NADEEM AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2700
Mailing address
2504 WATERVILLE DR, CHAMPAIGN, IL 61822-7416
(217) 418-4381
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036114258
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114258
—
IL
05
—
6447860011
—
IL
Enumeration date
05/12/2006
Last updated
08/05/2024
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