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NPI Code Detail

MEDICARE: S SAQIB AHMAD MD A PROFESSIONAL CORPORATION

MEDICARE: S SAQIB AHMAD MD A PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician11520NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CS13287OTHERNVSTATE PHARMACY LICENSE

General Provider Information

NPI Number : 1063489516
Entity Type Code : Organization
Provider Name (Legal Business Name) : S SAQIB AHMAD MD A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 9424 VALLEY HILLS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0151
Country : US
Telephone Number : 702-869-9076
Fax Number : 702-382-5388
Provider Business Practice Location Address
First Line : 7700 LAS VEGAS BLVD S
Second Line : 8
City : LAS VEGAS
State : NV
Zip : 89123-1757
Country : US
Telephone Number : 702-337-2657
Fax Number : 702-382-5388
Authorized Official
Title or Position : DIRECTOR PHYSICAN
Name : S SAQIB AHMAD
Credential : M.D.
Telephone Number : 702-372-6575
Provider Enumeration Date : 03/03/2006
Last Update Date : 03/07/2023

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