Provider Demographics
NPI:1427461532
Name:AHMAD, OWAIS (MD)
Entity type:Individual
Prefix:DR
First Name:OWAIS
Middle Name:
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 1:125 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-2408
Mailing Address - Country:US
Mailing Address - Phone:760-344-8100
Mailing Address - Fax:866-493-3117
Practice Address - Street 1:1550 PEPPER DR STE A
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-4166
Practice Address - Country:US
Practice Address - Phone:760-312-5900
Practice Address - Fax:866-493-3117
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA140135261QP2300X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care