Individual
DR. AHMAD A AMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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