Amtul R Ahmad MD Sc

NPI #1467544346 in Kenosha, Wisconsin

Provider Information

NPI Number: 1467544346
Entity Type: Organization
Organization Name: Amtul R Ahmad MD Sc
Primary Specialty: Pediatrics
Enumeration Date: Sep 29, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 3601 30TH AVE
Address 2: SUITE #101
City: Kenosha
State: Wisconsin
ZIP Code: 53144-1695
Phone: (262) 564-0611

Authorized Official

Name: DR. AMTUL REHMAN AHMAD, MD
Title: PRESIDENT/OWNER
Phone: (262) 564-0611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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