Individual
BAKHTIAR AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
264 N HIGHLAND SPRINGS AVE, BLDG 3 SUITE C, BANNING, CA 92220
(951) 845-4586
(951) 845-6988
Mailing address
264 N HIGHLAND SPRINGS AVE, BLDG 3 SUITE C, BANNING, CA 92220
(951) 845-4586
(951) 845-6988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A42585
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A425850
—
CA
Enumeration date
03/17/2006
Last updated
04/22/2010
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