Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A54334 | CA |
NPI | 1023123288 |
---|---|
Provider Name | Dr. Syed Hasnat Ahmed |
First Address | San Diego, CA 92193-3058 |
Second Address | El Centro, CA 92243-4304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 29/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A543340 | (05) | CA |
G97383 | (02) | CA |
P00228825 | RR MEDICARE PIN # (01) | CA |