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General NPI Number Information
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NPI Number | 1942447412
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Entity Type | Organization
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Legal Business Name | KHALID B AHMED MD APC
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 4511 ROSEMEAD BLVD
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City | PICO RIVERA
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State | CA
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Zip | 90660-2032
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Country | US
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Telephone | 562-695-2282
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Fax | 562-695-7252
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Provider Business Mailing Address
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Address Line | PO BOX 428
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City | MONTEBELLO
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State | CA
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Zip | 90640-0428
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Country | US
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Telephone | 562-695-2282
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Fax | 562-695-7252
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MAY VIRAY
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Credential |
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Telephone | 562-695-2282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | A33354
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | A33354
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | A33354
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License Number State | CA
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