Itani, Ahmad

Itani, Ahmad is an individual health care provider with primary practice located at 1100 Central Ave Se Phs Provider Enrollment, Albuquerque NM 87106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Itani, Ahmad can be contacted via phone (505) 724-6124.

Contact Information

Primary practice address
1100 Central Ave Se Phs Provider Enrollment Albuquerque NM 87106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD2024-0310 New Mexico

Profile Details

NPI number 1902284789
LBN Legal business name Itani, Ahmad
Credentials MBBCH.
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2015
Last updated Jul 10th, 2024 - about 2 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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