Individual
KIRUN NASEEM AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2401 WEST MAIN STREET, MARION, IL 62959-1496
(618) 246-2910
(618) 246-2912
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 246-2910
(618) 246-2912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036127976
IL
Other
Enumeration date
06/23/2008
Last updated
12/10/2012
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