Organization
ANTIOCH MEDICAL AND HOSPITAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED HABEEB AHMED M.D. (OWNER)
(408) 836-1134
Entity
Organization
Contact information
Practice address
601 W 2ND ST, ANTIOCH, CA 94509-1286
(925) 757-4099
(925) 757-4788
Mailing address
601 W 2ND ST, ANTIOCH, CA 94509-1286
(925) 757-4099
(925) 757-4788
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ83394Z
—
CA
Enumeration date
10/11/2006
Last updated
08/23/2016
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