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NPI Code Detail

MEDICARE: AHMAD ABDEL KARIM AHMAD ALDURGHAM

MEDICARE:   AHMAD ABDEL KARIM AHMAD ALDURGHAM
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNM

General Provider Information

NPI Number : 1710817911
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD ABDEL KARIM AHMAD ALDURGHAM
Provider Business Mailing Address
First Line : 2550 SAMARITAN DRIVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001
Country : US
Telephone Number : 575-800-3181
Fax Number :
Provider Business Practice Location Address
First Line : 2550 SAMARITAN DRIVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001
Country : US
Telephone Number : 575-800-3181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/29/2026

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Directions to “ AHMAD ABDEL KARIM AHMAD ALDURGHAM ” Practice Location

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