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Individual

DR. AHMAD A AMIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
816 E ENOS DR, SUITE A, SANTA MARIA, CA 93454-7295
(805) 346-1717
(805) 346-1525
Mailing address
3855 BROAD STREET, STE B, SAN LUIS OBISPO, CA 93401
(805) 545-7881
(805) 548-8785

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G84926
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G849260
CA
01
1117
CMSP GRP PIN
CA
01
20155344 93401 A001
TRICARE GRP PIN - SLO
CA
01
201555344 93420 A001
TRICARE GRP PIN - AG
CA
01
201555344 93454 A001
TRICARE GROUP PIN - SM
CA
01
DC7249
RR MEDICARE GRP PIN
01
G84926
MEDICAL LICENSE NUMBER
CA
05
GR0099340
CA
05
GR0099341
CA
05
GR0099342
CA
05
GR0099343
CA
01
P00213688
INDIV RR MEDICARE PIN
01
ZZZ09808Z
BLUE SHIELD SLO GRP PIN
CA
01
ZZZ09809Z
BLUE SHIELD AG GRP PIN
CA
01
ZZZ09810Z
BLUE SHIELD SM GRP PIN
CA
01
ZZZ65444Z
BLUE SHIELD TMPLTN GP PIN
CA
Enumeration date
06/01/2005
Last updated
03/30/2016
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