Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 9400695 | NC |
NPI | 1124025671 |
---|---|
Provider Name | Najla Ahmed |
First Address | Gastonia, NC 28052-4358 |
Second Address | Shelby, NC 28150-3746 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 02/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8910434 | (05) | NC |