Othman, Ahmad H
Othman, Ahmad H is an individual health care provider with primary practice located at 233 Fairway Ter N Ste B , Clovis NM 88101-3060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Othman, Ahmad H can be contacted via phone (575) 762-7779.Contact Information
Primary practice address
233 Fairway Ter N Ste B
Clovis NM 88101-3060
Phone: (575) 762-7779
Fax: (575) 762-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD2018-0173 | New Mexico |
Profile Details
| NPI number | 1255688271 |
|---|---|
| LBN Legal business name | Othman, Ahmad H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2012 |
| Last updated | Jun 8th, 2021 - about 4 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 | 1255688271 | NPPES |
| New Mexico | MEDICAID | 12875279 |
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