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Dr. Ehatsham Ahmad, M.D.

Family Medicine in San Diego, CA. Individual provider (NPI-1).

NPI number1649589243
StatusActive
Last updated in NPPESJun 13, 2022

Details

NPI
1649589243
Entity type
Individual (NPI-1)
Name
Dr. Ehatsham Ahmad
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2010
Certification date
Jun 13, 2022
Last updated
Jun 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA114008CAYes
2085R0202X Radiology, Diagnostic RadiologyA114008CA

Practice location

200 W Arbor Dr
Mail Code 8756
San Diego, CA 92103-8756

Phone 619-543-6222

Mailing address

200 W. Arbor Dr.
Mail Code 8756
San Diego, CA 92103-8756

Phone 619-543-6222

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