| Ahmed Madi Md Pa | |
|
22919 W 48th Ter Shawnee KS 66226-8700 | |
| (913) 422-5070 | |
| Not Available |
| Full Name | Ahmed Madi Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 22919 W 48th Ter, Shawnee, Kansas |
| Authorized Official Name and Position | Judy Fitch (CREDENTIALS COORDINATOR) |
| Authorized Official Contact | 9138517780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Madi Md Pa 22919 W 48th Ter Shawnee KS 66226-8700 Ph: (913) 422-5070 | Ahmed Madi Md Pa 22919 W 48th Ter Shawnee KS 66226-8700 Ph: (913) 422-5070 |
| NPI Number | 1467779033 |
|---|---|
| Provider Enumeration Date | 04/22/2010 |
| Last Update Date | 08/27/2010 |
| Medicare PECOS PAC ID | 3274725650 |
|---|---|
| Medicare Enrollment ID | O20101004001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467779033 | NPI | - | NPPES |
| 04-31637 | Other | KS | AHMED MADI, MD |
| 2006009459 | Other | MO | AHMED MADI, MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2006009459 (Missouri) | Primary |
| Provider Name | Ahmed M Madi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316996994 PECOS PAC ID: 7416859970 Enrollment ID: I20060615000134 |
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