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NPI Code Detail

MEDICARE: ALTAF AHMED MD

MEDICARE:   ALTAF  AHMED  MD
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
1208100000XPhysical Medicine & Rehabilitation Physician2002-0482NM
2208100000XPhysical Medicine & Rehabilitation Physician83038SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00029143OTHERNMRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NM009E41OTHERNMBC/BS OF NM
3043342357OTHERNMTRICARE

General Provider Information

NPI Number : 1073594230
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALTAF AHMED MD
Provider Business Mailing Address
First Line : PO BOX 603898
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3898
Country : US
Telephone Number : 843-792-6200
Fax Number :
Provider Business Practice Location Address
First Line : 805 PAMPLICO HWY
Second Line :
City : FLORENCE
State : SC
Zip : 29505-6047
Country : US
Telephone Number : 843-674-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 12/22/2021

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