Maqbool Ahmad
NPI #1033355631 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1033355631
- Entity Type
- Organization
- Organization Name
- Maqbool Ahmad
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 2, 2009
- Last Updated
- Apr 29, 2010
Practice Location
- Address
- 2900 BROADWAY ST
- Address 2
- SUITE B
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2341
- Phone
- (618) 993-5686
Authorized Official
- Name
- DR. MAQBOOL AHMAD, M.D.
- Title
- OWNER
- Phone
- (618) 993-5686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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