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NPI Code Detail

MEDICARE: MS. FATMA OMAR AHMED

MEDICARE:  MS. FATMA OMAR AHMED
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
1372600000XAdult Companion

General Provider Information

NPI Number : 1164280921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FATMA OMAR AHMED
Provider Business Mailing Address
First Line : 4707 W PALMAIRE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-2723
Country : US
Telephone Number : 480-388-4935
Fax Number :
Provider Business Practice Location Address
First Line : 4707 W PALMAIRE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-2723
Country : US
Telephone Number : 480-388-4935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2024
Last Update Date : 05/08/2025

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