| Doctor Name: | MR. K. BASHEER AHMED |
| NPI Number: | 1356374292 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BS, RRT, CRTT, CPFT |
| License Number: | 203.000540 |
| Business Practice Address: | 346 E Irving Park Rd Wood Dale, IL - 601911679 |
| Business Phone Number: | 8478771601 |
| Business Fax Number: | 6304227186 |
| Mailing Address: | 346 E Irving Park Rd, WOOD DALE |
| State: | IL |
| Postal Code: | 601911679 |
| Phone Number: | 8478771601 |
| Fax Number: | 6304227186 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 04/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 203.000540 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |