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NPI Code Detail

MEDICARE: AHMAD CARDIOLOGY INC

MEDICARE: AHMAD CARDIOLOGY INC
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
1207RC0000XCardiovascular Disease Physician36611MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174634133
Entity Type Code : Organization
Provider Name (Legal Business Name) : AHMAD CARDIOLOGY INC
Provider Business Mailing Address
First Line : 6400 CLAYTON RD
Second Line : SUITE 316
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1850
Country : US
Telephone Number : 314-644-2333
Fax Number : 314-644-1577
Provider Business Practice Location Address
First Line : 6400 CLAYTON RD
Second Line : SUITE 316
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1850
Country : US
Telephone Number : 314-644-2333
Fax Number : 314-644-1577
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : JORGE J HERNANDEZ
Credential : M.D.
Telephone Number : 314-644-2333
Provider Enumeration Date : 08/31/2006
Last Update Date : 04/09/2008

Similar Medicare Providers

1144465519 — DR. LISA RAE MOHRMAN M.D.
Practice Location Address:
6400 CLAYTON RD STE 303
RICHMOND HEIGHTS, MO
63117-1850
Practice Phone: 314-408-7756
Practice Fax: 314-207-4943
1558633008 — DR. HANI NABIL EL-HALAWANY M.D.
Practice Location Address:
6400 CLAYTON RD STE 216
RICHMOND HEIGHTS, MO
63117-1850
Practice Phone: 314-646-7848
Practice Fax:
1790059822 — MRS. KIMBERLY MARIE MARRE M.S., L.D., R.D.
Practice Location Address:
6400 CLAYTON RD
RICHMOND HEIGHTS, MO
63117-1850
Practice Phone: 314-768-8891
Practice Fax:
1700232915 — DR. JACOB BUTTON DPM
Practice Location Address:
6400 CLAYTON RD STE 412
RICHMOND HEIGHTS, MO
63117-1850
Practice Phone: 314-381-1800
Practice Fax: 314-442-7749
1114647039 — MS. KAYCE BOURGETTE HESTER FNP
Practice Location Address:
6400 CLAYTON RD STE 302
RICHMOND HEIGHTS, MO
63117-1850
Practice Phone: 314-645-3370
Practice Fax:
1457385486 — KATE MARIE BOUCEK LEWIS MSW
Practice Location Address:
6910 RICHMOND HWY STE 110
ALEXANDRIA, VA
22306-1850
Practice Phone: 703-660-8108
Practice Fax: 703-768-0103

Directions to “AHMAD CARDIOLOGY INC ” Practice Location

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