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NPI Code Detail

MEDICARE: MUBASHIR AHMED M.D.

MEDICARE: MUBASHIR AHMED M.D.
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
1207UN0901XNuclear Cardiology Physician036106610IL
2207RC0000XCardiovascular Disease Physician036-106610IL
3207RA0001XAdvanced Heart Failure and Transplant Cardiology Physician036106610IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036106610OTHERILSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366466377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUBASHIR AHMED M.D.
Provider Business Mailing Address
First Line : 4309 W MEDICAL CENTER DR STE A200
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8437
Country : US
Telephone Number : 815-759-8070
Fax Number : 815-759-4931
Provider Business Practice Location Address
First Line : 4309 W MEDICAL CENTER DR STE A200
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8437
Country : US
Telephone Number : 815-759-8070
Fax Number : 815-759-4931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 09/11/2023

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Directions to “ MUBASHIR AHMED M.D.” Practice Location

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