Amtul R Ahmad Md Sc

LBN: Amtul R Ahmad Md Sc
Amtul R Ahmad Md Sc is an health care organization with primary practice located at 3601 30Th Ave Suite #101, Kenosha WI 53144-1695. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Amtul R Ahmad Md Sc can be contacted via phone (262) 564-0611, or through Ahmad, Amtul Rehman via phone (262) 564-0611.

Contact Information

Primary practice address
3601 30Th Ave Suite #101 Kenosha WI 53144-1695
Phone: (262) 564-0611
Fax: (262) 564-0601
Website:
Map and Directions
Authorized official contact:
Name: Ahmad, Amtul Rehman Doctor of Medicine (MD)
Phone: (262) 564-0611

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40006020 Wisconsin

Profile Details

NPI number 1467544346
LBN Legal business name Amtul R Ahmad Md Sc
DBA Doing business as Amtul R Ahmad Md Sc
Authorized official Ahmad, Amtul Rehman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467544346 NPPES
Wisconsin MEDICAID 32466300

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