Ikramullah Ahmadani, M.D.
Family Medicine in Columbia, SC. Individual provider (NPI-1).
NPI number1497702567
StatusActive
Last updated in NPPESNov 5, 2009
Details
- NPI
- 1497702567
- Entity type
- Individual (NPI-1)
- Name
- Ikramullah Ahmadani
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2006
- Last updated
- Nov 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 19633 | SC | Yes |
| 207R00000X | Internal Medicine | 052675 | GA | |
| 208D00000X | General Practice | 052675 | GA | |
| 207P00000X | Emergency Medicine | 19633 | SC | |
| 207R00000X | Internal Medicine | 19633 | SC |
Practice location
1818 Henderson StColumbia, SC 29201-2619
Phone 803-758-2600 · Fax 803-253-8896
Mailing address
1818 Henderson StColumbia, SC 29201-2619
Phone 803-758-2600 · Fax 803-253-8896
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