Ahmad, Mashood
Ahmad, Mashood is an individual health care provider with primary practice located at 612 Roxbury Road , Rockford IL 61107-5089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ahmad, Mashood can be contacted via phone (815) 227-8300.Contact Information
Primary practice address
612 Roxbury Road
Rockford IL 61107-5089
Phone: (815) 227-8300
Fax: (815) 227-8301
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036094930 | Illinois |
Profile Details
NPI number | 1043232846 |
---|---|
LBN Legal business name | Ahmad, Mashood |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Apr 22nd, 2011 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043232846 | NPPES |
Wisconsin | MEDICAID | 34297600 | |
Wisconsin | Other | P00707938 | |
Wisconsin | MEDICAID | 036094930 |
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