Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A45378 | CA |
N | 111NI0900X | Internist | A45378 | CA |
N | 207RC0200X | Critical Care Medicine | A45378 | CA |
Y | 207RP1001X | Pulmonary Disease | A45378 | CA |
N | 207RS0012X | Sleep Medicine | A45378 | CA |
NPI | 1033137591 |
---|---|
Provider Name | Mushtaq Ahmed |
First Address | Bakersfield, CA 93309-0609 |
Second Address | Bakersfield, CA 93309-0609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B65585 | (02) |