Bamaga, Ahmed Khamis

Bamaga, Ahmed Khamis is an individual health care provider with primary practice located at 660 S Euclid Ave Compus Box 8111, Saint Louis MO 63110-1010. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Bamaga, Ahmed Khamis can be contacted via phone (314) 362-6981.

Contact Information

Primary practice address
660 S Euclid Ave Compus Box 8111 Saint Louis MO 63110-1010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2016011080 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2016011080 Missouri

Profile Details

NPI number 1801344809
LBN Legal business name Bamaga, Ahmed Khamis
Credentials M.D, FRCPC,
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2016
Last updated Sep 19th, 2016 - about 9 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 1801344809 NPPES
Missouri Other 2016011080 MISSOURI LICENSE

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