Individual
MONJUR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 CHESTNUT ST, PHILA, PA 19107-3612
(215) 955-8900
(215) 955-5245
Mailing address
132 S. 10TH STREET, 480 MAIN BLDG., PHILA, PA 19107
(215) 955-8900
(215) 955-5245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21002
WV
207RG0100X
Gastroenterology Physician
Primary
21002
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812590000
—
WV
05
—
2360412
—
OH
05
—
64057912
—
KY
Enumeration date
04/19/2006
Last updated
10/28/2024
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