MEDICARE: VISITING MEDICAL DOCTORS

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1235443615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING MEDICAL DOCTORS

Provider Business Mailing Address
First Line	:	N85W18181 TYLER DR
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-2535
Country	:	US
Telephone Number	:	262-255-1040
Fax Number	:	262-255-4090

Provider Business Practice Location Address
First Line	:	7071 S 13TH ST
Second Line	:	STE#103
City	:	OAK CREEK
State	:	WI
Zip	:	53154-1466
Country	:	US
Telephone Number	:	414-764-6080
Fax Number	:	414-764-6091

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FARID AREF AHMAD
Credential	:	MD
Telephone Number	:	414-255-6141

Provider Enumeration Date	:	07/28/2010
Last Update Date	:	01/06/2011

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