MEDICARE: AHMED'S FOR ALL CARE PC

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
1	207R00000X	Internal Medicine Physician	9524	NV

General Provider Information

NPI Number	:	1023335395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHMED'S FOR ALL CARE PC

Provider Business Mailing Address
First Line	:	4012 S RAINBOW BLVD
Second Line	:	SUITE K-615
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2010
Country	:	US
Telephone Number	:	702-239-6764
Fax Number	:

Provider Business Practice Location Address
First Line	:	6039 ELDORA AVE
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5611
Country	:	US
Telephone Number	:	702-239-6764
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FAWAD AHMED
Credential	:	M.D.
Telephone Number	:	702-239-6764

Provider Enumeration Date	:	04/27/2010
Last Update Date	:	04/27/2010

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