Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A45423 | CA |
NPI | 1033137633 |
---|---|
Provider Name | Mr. Khaja R. Ahmed |
First Address | Torrance, CA 90503-4352 |
Second Address | Torrance, CA 90503-4352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A454231 | (05) | CA |
F00744 | (02) | CA |