Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 036.0585436 | IL |
NPI | 1003849969 |
---|---|
Provider Name | Mr. Ahmad Karagah |
First Address | Leeds, MA 01053 |
Second Address | Leeds, MA 01053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 02/12/2010 |