Carl R Ahroon, M.D.
Individual provider Active NPI Internal Medicine Physician · Clovis, CA
NPI 1508913674 · NPPES record last updated Mar 5, 2010
Key facts
- NPI
- 1508913674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G13598 (CA)
- Practice address
- 724 Medical Center Dr E
Suite 101
Clovis, CA 93611-6811 - Phone
- (559) 323-1610
- Fax
- (559) 323-1760
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050517001049 | CA | Practitioner - Internal Medicine | 0547201873 | Practice locations: Clovis, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G13598 | CA | Yes |
Addresses
Primary practice location
724 Medical Center Dr E
Suite 101
Clovis, CA 93611-6811
Mailing address
724 Medical Center Dr E
Suite 101
Clovis, CA 93611-6811
Phone (559) 323-1610
Other providers in Clovis, CA
- Gabriel G Aguirre
- Patricia Agustin
- Ali Ahmad
- Shakeel Rashid Ahmad
- Ramiz Khurram Ahmed
- Ak Arthritis & Rheumatology, Inc.
- Muhammad K. Akbar
- Sadri Mehmet Akin
- Muhammad Akrmah
- Naif Mansour Al-Aedan
All providers in Clovis, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.