Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A87847 | CA |
NPI | 1063410280 |
---|---|
Provider Name | Dr. Nayeema Ahmed |
First Address | Riverside, CA 92503-3901 |
Second Address | Riverside, CA 92503-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A878470 | (05) | CA |
I121895 | (02) | CA |