Ahmed, Siraj K

Ahmed, Siraj K is an individual health care provider with primary practice located at 520 E Center St , Manteca CA 95336-4720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ahmed, Siraj K can be contacted via phone (209) 665-7054.

Contact Information

Primary practice address
520 E Center St Manteca CA 95336-4720
Phone: (209) 665-7054
Fax: (209) 647-4805
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01041335A Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01041335A Indiana

Profile Details

NPI number 1265513121
LBN Legal business name Ahmed, Siraj K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Oct 3rd, 2019 - about 7 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 1265513121 NPPES
California MEDICAID 1265513121
California Other CA238933

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