Ahmad, Anis
Ahmad, Anis is an individual health care provider with primary practice located at 3061 7Th St Ste A, Moline IL 61265-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ahmad, Anis can be contacted via phone (309) 762-6161.Contact Information
Primary practice address
3061 7Th St Ste A
Moline IL 61265-5925
Phone: (309) 762-6161
Fax: (309) 762-5387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036049910 | Illinois |
Profile Details
| NPI number | 1174511661 |
|---|---|
| LBN Legal business name | Ahmad, Anis |
| Credentials | M.D., F.R.C.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | May 16th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174511661 | NPPES |
| Illinois | MEDICAID | 036049910 |
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