Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A157319 | CA |
N | 111NI0900X | Internist | A157319 | CA |
Y | 207RH0003X | Hematology & Oncology | A157319 | CA |
NPI | 1043508666 |
---|---|
Provider Name | Delshad Ahmad |
First Address | Rancho Mirage, CA 92270-3221 |
Second Address | Rancho Mirage, CA 92270-3221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2011 |
Last Update Date | 03/07/2019 |