AHMAD PEDIATRICS NPI 1609005842

NPI Information

AHMAD PEDIATRICS is an adolescent medicine pediatrics in Tahlequah, OK. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. AHMAD PEDIATRICS NPI is 1609005842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464-014
Phone: (918) 458-9444
Fax: (918) 458-9445

The provider's authorized official is Yahya M. Ahmad .
The authorized official title is Owner and has the following contact phone number (918) 458-9994.

The CLIA number assigned to this NPI record is 37D1103430 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2009 and was last updated on 7/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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