Ahmed, Omar

Ahmed, Omar is an individual health care provider with primary practice located at 8170 Laguna Blvd Suite 210, Elk Grove CA 95758-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ahmed, Omar can be contacted via phone (916) 691-5999.

Contact Information

Primary practice address
8170 Laguna Blvd Suite 210 Elk Grove CA 95758-7901
Phone: (916) 691-5999
Fax: (916) 691-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A81109 California

Profile Details

NPI number 1376525154
LBN Legal business name Ahmed, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376525154 NPPES
California MEDICAID 00A0811090

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