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General NPI Number Information
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NPI Number | 1386955383
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Entity Type | Organization
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Legal Business Name | S H AHMED MD PHD INC
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 1271 ROSS AVE
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City | EL CENTRO
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State | CA
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Zip | 92243-4304
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Country | US
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Telephone | 760-335-3030
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Fax | 760-335-3035
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Provider Business Mailing Address
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Address Line | PO BOX 23058
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City | SAN DIEGO
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State | CA
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Zip | 92193-3058
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Country | US
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Telephone | 760-335-3030
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Fax | 760-335-3035
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SYED HASNAT AHMED
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Credential | MD
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Telephone | 760-335-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A54334
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License Number State | CA
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