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NPI Code Detail

MEDICARE: AL-FATH AHMED PROFESSIONAL CORPORATION

MEDICARE: AL-FATH AHMED PROFESSIONAL CORPORATION
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
1207LC0200XCritical Care Medicine (Anesthesiology) Physician159008520-02NV
2207L00000XAnesthesiology Physician159008520-02NV

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 : 1780679290
Entity Type Code : Organization
Provider Name (Legal Business Name) : AL-FATH AHMED PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 7437 S EASTERN AVE # 611
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1538
Country : US
Telephone Number : 702-583-5074
Fax Number : 702-548-7445
Provider Business Practice Location Address
First Line : 7437 S EASTERN AVE # 611
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1538
Country : US
Telephone Number : 702-238-3465
Fax Number : 702-548-7445
Authorized Official
Title or Position : PRESIDENT
Name : SALAHUDDIN AHMED
Credential :
Telephone Number : 702-583-5074
Provider Enumeration Date : 09/12/2005
Last Update Date : 04/02/2024

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Directions to “AL-FATH AHMED PROFESSIONAL CORPORATION ” Practice Location

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