Agha, Ahmad K

Agha, Ahmad K is an individual health care provider with primary practice located at 1367 N Division St A, Morris IL 60450-1444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Agha, Ahmad K can be contacted via phone (815) 941-2007.

Contact Information

Primary practice address
1367 N Division St A Morris IL 60450-1444
Fax: (815) 941-2132
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-104423 Illinois

Profile Details

NPI number 1376592717
LBN Legal business name Agha, Ahmad K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376592717 NPPES
Other 0-523-729-2 ECFMG CERT #
Other 336-065079 ECFMG CERT #

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