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Contact Information

AHMAD ITANI, MBBCH.
1100 CENTRAL AVE SE
PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM87106
 Phone: 505-724-6124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AHMAD ITANI · (Male)

NPI Number 1902284789
Status Active
Credentials MBBCH.
Entity Individual
Enumeration date 05/12/2015
Last updated 07/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2024-0310
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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