Individual provider · NPI-1

Dr. Rehman Bienvenido Ahmad, DO

Hospitalist · Lawrenceville, GA

NPI number1174027080
StatusActive
Last updated in NPPESMar 2, 2023

Details

NPI
1174027080
Entity type
Individual (NPI-1)
Name
Dr. Rehman Bienvenido Ahmad
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 23, 2018
Certification date
Mar 2, 2023
Last updated
Mar 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist88227GAYes
207R00000X Internal Medicine88227GA
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3294 · Fax 678-312-3282

Mailing address

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3294 · Fax 678-312-3282

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