Anis Ahmad, M.D., S.C.
LBN: Anis Ahmad, M.D., S.C.
Anis Ahmad, M.D., S.C. is an health care organization with primary practice located at 3061 7Th St Ste A, Moline IL 61265-5903. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Anis Ahmad, M.D., S.C. can be contacted via phone (309) 762-6161, or through Ahmad, Anis via phone (309) 762-6161.
Contact Information
Primary practice address
3061 7Th St Ste A
Moline IL 61265-5903
Phone: (309) 762-6161
Fax: (309) 762-5387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036049910 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036049910 | Illinois |
Profile Details
| NPI number | 1154588317 |
|---|---|
| LBN Legal business name | Anis Ahmad, M.D., S.C. |
| DBA Doing business as | |
| Authorized official | Ahmad, Anis M.D., F.R.C.P. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2008 |
| Last updated | Mar 25th, 2010 - about 14 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154588317 | NPPES |
| Illinois | MEDICAID | 0360499102 | |
| Illinois | Other | 111918028 |
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