Ahmad-Bodla, Fakhra

Ahmad-Bodla, Fakhra is an individual health care provider with primary practice located at 400 Sun Temple Dr , Madison AL 35758-5924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ahmad-Bodla, Fakhra can be contacted via phone (256) 774-5524.

Contact Information

Primary practice address
400 Sun Temple Dr Madison AL 35758-5924
Phone: (256) 774-5524
Fax: (256) 774-5523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000013314 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14489 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-113025 Alabama

Profile Details

NPI number 1285762344
LBN Legal business name Ahmad-Bodla, Fakhra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Oct 7th, 2023 - about last year

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 1285762344 NPPES
Alabama MEDICAID 152756

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