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General NPI Number Information
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NPI Number | 1942294038
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Entity Type | Individual
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Provider Name | ADAM Z AHMADI MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 01/10/2020
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Provider Practice Location Address
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Address Line | 35800 BOB HOPE DR STE 225
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1740
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Country | US
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Telephone | 760-459-2747
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Fax | 760-770-5893
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Provider Business Mailing Address
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Address Line | 35800 BOB HOPE DR STE 225
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1740
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Country | US
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Telephone | 760-459-2747
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Fax | 760-770-5893
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2005-0295
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A89874
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License Number State | CA
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