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KELLY AHMED M.D. INC. NPI 1902277940


NPI Information

NPI: 1902277940
Provider Name: KELLY AHMED M.D., INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14285 AMARGOSA RD
VICTORVILLE, CA
ZIP 92392
Phone: (760) 955-7095
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KELLY AHMED M.D., INC. is a family medicine in Victorville, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KELLY AHMED M.D., INC. NPI is 1902277940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14285 AMARGOSA RD
VICTORVILLE, CA
ZIP 92392-707
Phone: (760) 955-7095
Fax: (760) 951-1076

The provider's authorized official is Kelly J Ahmed .
The authorized official title is Owner and has the following contact phone number (760) 955-7095.

The enumeration date for this NPI number is 10/16/2015 and was last updated on 10/16/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA51407CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A51407OTHERCALIFORNIAMEDICAL LICEANSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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