Individual
MRS. SUMAYYAH RAHELLA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-0715
(708) 783-9100
Mailing address
1724 GORMAN ST, CANTON, MI 48187-4818
(734) 981-5677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009817
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/31/2023
Last updated
09/11/2023
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