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NPI Code Detail

MEDICARE: DR. KAHON AHMADI MD

MEDICARE: DR. KAHON AHMADI 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
1390200000XStudent in an Organized Health Care Education/Training ProgramGA

General Provider Information

NPI Number : 1750239091
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAHON AHMADI MD
Provider Business Mailing Address
First Line : 3651 WHEELER RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6521
Country : US
Telephone Number : 706-231-5474
Fax Number :
Provider Business Practice Location Address
First Line : 3651 WHEELER RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6521
Country : US
Telephone Number : 706-231-5474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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