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Individual

DR. CYRUS AHMADI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
53 PASSAIC AVE, PASSAIC, NJ 07055-4801
(973) 471-4440
(973) 471-4681
Mailing address
53 PASSAIC AVE, PASSAIC, NJ 07055-4801
(973) 471-4440
(973) 471-4681

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA032935
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000004300
AMERICHOICE
01
0101202001
AMERIHEALTH
01
0375004
MEDICAID (UNISYS)
05
0375004
NJ
01
1035326
MERCY
01
10509
AMERIGROUP
01
11073(2534)
US HEALTH
01
12708
UNIVERSITY
01
19981288
LOCAL 734
01
23178
MEDICHOICE
01
298253
USA
01
4330670
AETNA
01
441625
KEYSTONE
01
5318425004
CIGNA
01
667685
FIRST HEALTH
01
C64487370
GUARDIAN
01
PPQ15
OXFORD
01
QK974Q
HEALTHNET
Enumeration date
06/08/2005
Last updated
09/28/2010
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