Diversified Medical Services LLC
NPI #1780962506 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1780962506
- Entity Type
- Organization
- Organization Name
- Diversified Medical Services LLC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jul 27, 2011
- Last Updated
- Sep 12, 2011
Practice Location
- Address
- 5023 N ILLINOIS ST
- Address 2
- STE 1
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-3453
- Phone
- (618) 239-0678
Authorized Official
- Name
- SHAKEEL AHMED, MD
- Title
- PRESIDENT
- Phone
- (618) 239-0678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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