Omar Ahmad M.D.

NPI 1093779456 - Internal Medicine - 207RH0003X

NPI Details
NPI 1093779456
Gender Male
Enumeration Date 04/13/2006
Last Updated 02/01/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
36 SANDSTONE CIR
SUITE A & B
JACKSON TN, 38305-2098, US
Phone (731) 234-2425
Fax (731) 410-6824
Business Location
PO BOX 11076
JACKSON TN, 38308-0117, US
Phone (731) 868-4441
Fax (731) 410-6824
Toxanomy
Taxonomy Code 207RH0003X
License State Tennessee
License Number MD29190
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According to our database, Dr. Omar Ahmad M.D. NPI is 1093779456, taxonomy code is 207RH0003X and license number is MD29190, license state is located at Tennessee. Omar Ahmad M.D. physically located at 36 Sandstone Cir, Jackson TN, 38305-2098. NPI Number Omar Ahmad M.D. has the Individual type.

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1093779456 NPI number is provided on an as is basis without warranty of any kind. 1093779456 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Ahmad M.D. are for informational purposes only.