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Individual

DR. AHMER K GHORI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 482-5060

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
L-244060
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01077698A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
47923
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201323150
IN
Enumeration date
06/08/2010
Last updated
10/30/2018
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