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Bakhtiar Ahmad

  • Male

Medical Specialty

Professional ID

  • NPI: 1992774129
  • PECOS ID: 3274657572
  • Enrollment ID: I20100823001062
  • Credential(MD, DO, DPM):
  • Medical School: Meharry Medical College School Of Medicine
  • Medical School Graduation Year: 0

Hospital Service

  • Hospital CCN1: 050054
  • Business Name (LBN)1: San Gorgonio Memorial Hospital

Location

  • Address1: 12980 Frederick St
  • Address2: Suite C
  • City: Moreno Valley
  • State: California
  • Zip Code: 92553
  • Phone Number: (951)242-1161

Location

  • Address1: 264 N Highlands Spring Ave
  • Address2: 3c
  • City: Banning
  • State: California
  • Zip Code: 92220
  • Phone Number: (951)845-4586

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):