Provider Demographics
NPI:1013150317
Name:AHMAD, NADER A (MD)
Entity type:Individual
Prefix:DR
First Name:NADER
Middle Name:A
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3238
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92605-3238
Mailing Address - Country:US
Mailing Address - Phone:949-500-3883
Mailing Address - Fax:562-788-7650
Practice Address - Street 1:23962 ALICIA PKWY
Practice Address - Street 2:SADDLEBACK FAMILY & URGENT CARE
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-3940
Practice Address - Country:US
Practice Address - Phone:949-452-7699
Practice Address - Fax:949-770-2815
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2016-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109192207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice