Healthcare Provider Details

I. General information

NPI: 1326984949
Provider Name (Legal Business Name): AHMED KAHLA MBBS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 RIVER ROAD
NORTH BERGEN NJ
07047
US

IV. Provider business mailing address

7600 RIVER ROAD
NORTH BERGEN NJ
07047
US

V. Phone/Fax

Practice location:
  • Phone: 201-710-2716
  • Fax:
Mailing address:
  • Phone: 313-633-6816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: