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
Fax: (815) 227-8301
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043232846 NPPES
Wisconsin MEDICAID 34297600
Wisconsin Other P00707938
Wisconsin MEDICAID 036094930

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