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NPI Code Detail

MEDICARE: AHMAD PETERS

MEDICARE: AHMAD PETERS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1306661814
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD PETERS
Provider Business Mailing Address
First Line : 8360 MONTECITO POINTE DR APT 1065
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4783
Country : US
Telephone Number : 214-554-5894
Fax Number :
Provider Business Practice Location Address
First Line : 8360 MONTECITO POINTE DR APT 1065
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4783
Country : US
Telephone Number : 214-554-5894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2024
Last Update Date : 11/19/2024

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Directions to “ AHMAD PETERS ” Practice Location

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