Kelly Ahmed M.D., Inc.

LBN: Kelly Ahmed M.D., Inc.
Kelly Ahmed M.D., Inc. is an health care organization with primary practice located at 14285 Amargosa Rd , Victorville CA 92392-9707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kelly Ahmed M.D., Inc. can be contacted via phone (760) 955-7095, or through Ahmed, Kelly J via phone (760) 955-7095.

Contact Information

Primary practice address
14285 Amargosa Rd Victorville CA 92392-9707
Phone: (760) 955-7095
Fax: (760) 951-1076
Website:
Map and Directions
Authorized official contact:
Name: Ahmed, Kelly J Doctor of Medicine (MD)
Phone: (760) 955-7095

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A51407 California

Profile Details

NPI number 1902277940
LBN Legal business name Kelly Ahmed M.D., Inc.
DBA Doing business as
Authorized official Ahmed, Kelly J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2015
Last updated Oct 16th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902277940 NPPES
California Other A51407 MEDICAL LICEANSE

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