Individual provider · NPI-1

Dr. Mazna Tamkin Ahmad, MD

Internal Medicine · Loma Linda, CA

NPI number1043475536
StatusActive
Last updated in NPPESNov 30, 2016

Details

NPI
1043475536
Entity type
Individual (NPI-1)
Name
Dr. Mazna Tamkin Ahmad
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 23, 2008
Last updated
Nov 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA116686CAYes

Practice location

11374 Mountain View Ave
Suite A
Loma Linda, CA 92354-3830

Phone 909-558-2870 · Fax 909-558-2486

Mailing address

Po Box 1693
Loma Linda, CA 92354-1693

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