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NPI Code Detail

MEDICARE: SALVA GRACIA BERNAL AHMED MD

MEDICARE:   SALVA GRACIA BERNAL 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
1207Q00000XFamily Medicine Physician35.069867OH

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 : 1346287091
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALVA GRACIA BERNAL AHMED MD
Provider Business Mailing Address
First Line : 950 SALEM ST
Second Line :
City : BROOKVILLE
State : OH
Zip : 45309-8227
Country : US
Telephone Number : 937-833-2149
Fax Number : 937-833-5359
Provider Business Practice Location Address
First Line : 950 SALEM ST
Second Line :
City : BROOKVILLE
State : OH
Zip : 45309-8227
Country : US
Telephone Number : 937-833-2149
Fax Number : 937-833-5359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 03/23/2017

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Directions to “ SALVA GRACIA BERNAL AHMED MD” Practice Location

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