Provider Demographics
NPI:1891863387
Name:AHMED, ABDUL REHMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:REHMAN
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1700 MEDICAL WAY
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-0587
Mailing Address - Country:US
Mailing Address - Phone:770-736-2503
Mailing Address - Fax:770-414-4908
Practice Address - Street 1:1700 MEDICAL WAY
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-0587
Practice Address - Country:US
Practice Address - Phone:770-736-2503
Practice Address - Fax:770-414-4908
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0311932080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine