Organization · NPI-2

Anis Ahmad, M.D., S.C.

Internal Medicine · Moline, IL

NPI number1154588317
StatusActive
Last updated in NPPESMar 25, 2010

Details

NPI
1154588317
Entity type
Organization (NPI-2)
Legal business name
Anis Ahmad, M.D., S.C.
Organization subpart
No
Enumeration date
May 16, 2008
Last updated
Mar 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036049910ILYes
207RC0000X Internal Medicine, Cardiovascular Disease036049910IL

Practice location

3061 7th St
Ste A
Moline, IL 61265-5903

Phone 309-762-6161 · Fax 309-762-5387

Mailing address

3061 7th St
Ste A
Moline, IL 61265-5903

Phone 309-762-6161 · Fax 309-762-5387

Authorized official

Anis Ahmad
M.D
3097626161

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