Ahmadi, Ebrahim
Ahmadi, Ebrahim is an sole proprietor health care provider with primary practice located at 38143 Martha Ave , Fremont CA 94536-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ahmadi, Ebrahim can be contacted via phone (510) 791-2002.Contact Information
Primary practice address
38143 Martha Ave
Fremont CA 94536-3800
Phone: (510) 791-2002
Fax: (510) 000-0000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A050313 | California |
Profile Details
| NPI number | 1417008426 |
|---|---|
| LBN Legal business name | Ahmadi, Ebrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Sep 20th, 2022 - about 3 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 | 1417008426 | NPPES |
| California | MEDICAID | 00A503131 |
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