Individual
SYED AMMAR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 W 40TH AVE STE 202, PINE BLUFF, AR 71603-6367
(870) 541-7201
(870) 541-7202
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7211
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-954
AR
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
12/04/2020
Last updated
10/28/2021
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