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Naveed Ehtesham Ahmed

Student in an Organized Health Care Education/Training Program in Rockford, IL. Individual provider (NPI-1).

NPI number1346090339
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1346090339
Entity type
Individual (NPI-1)
Name
Naveed Ehtesham Ahmed
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2024
Certification date
Mar 24, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

5970 Churchview Dr
Rockford, IL 61107-2574

Phone 815-971-8990 · Fax 815-971-9978

Mailing address

3633 Palmetto Rd
Rockford, IL 61114-8520

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