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NPI Code Detail

MEDICARE: POTTERS MEDICAL GROUP, PC

MEDICARE: POTTERS MEDICAL GROUP, PC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1598694127
Entity Type Code : Organization
Provider Name (Legal Business Name) : POTTERS MEDICAL GROUP, PC
Provider Business Mailing Address
First Line : 75 W MARCH LN STE H
Second Line :
City : STOCKTON
State : CA
Zip : 95207-5729
Country : US
Telephone Number : 909-254-3793
Fax Number :
Provider Business Practice Location Address
First Line : 75 W MARCH LN STE H
Second Line :
City : STOCKTON
State : CA
Zip : 95207-5729
Country : US
Telephone Number : 909-254-3793
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR/CEO
Name : BILAWAL SUNNY AHMED
Credential : MD
Telephone Number : 817-897-7326
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “POTTERS MEDICAL GROUP, PC ” Practice Location

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