Provider Demographics
NPI:1891986790
Name:RAMAHA, AHMED (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:
Last Name:RAMAHA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9618 SOUTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2862
Mailing Address - Country:US
Mailing Address - Phone:708-394-5100
Mailing Address - Fax:708-907-3165
Practice Address - Street 1:9618 SOUTHWEST HWY
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2862
Practice Address - Country:US
Practice Address - Phone:708-394-5100
Practice Address - Fax:708-907-3165
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190270511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice