MEDICARE: MRS. LUBNA AHMAD M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	8670	NV

General Provider Information

NPI Number	:	1679648463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LUBNA AHMAD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 60327
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89160-0327
Country	:	US
Telephone Number	:	702-228-5000
Fax Number	:	702-228-5075

Provider Business Practice Location Address
First Line	:	7010 SMOKE RANCH ROAD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0481
Country	:	US
Telephone Number	:	702-228-5000
Fax Number	:	702-228-5075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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