Ahmad, Ahmad H

Ahmad, Ahmad H is an sole proprietor health care provider with primary practice located at 1770 E Lake Shore Dr Suite 201, Decatur IL 62521-3832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ahmad, Ahmad H can be contacted via phone (217) 428-7921.

Contact Information

Primary practice address
1770 E Lake Shore Dr Suite 201 Decatur IL 62521-3832
Phone: (217) 428-7921
Fax: (217) 428-7931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 030108732 Illinois

Profile Details

NPI number 1053397018
LBN Legal business name Ahmad, Ahmad H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Jul 19th, 2010 - about 14 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 1053397018 NPPES
Illinois Other 05832029 BLUE CROSS/BLUE SHIELD
Illinois MEDICAID 036108732 BLUE CROSS/BLUE SHIELD
Illinois Other 113690990 BLUE CROSS/BLUE SHIELD
Illinois Other 612624 BLUE CROSS/BLUE SHIELD

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