Provider Demographics
NPI:1407340763
Name:ATTRAH, AHMED (RCFE ADMIN)
Entity type:Individual
Prefix:MR
First Name:AHMED
Middle Name:
Last Name:ATTRAH
Suffix:
Gender:M
Credentials:RCFE ADMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3272 AMETHYST ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-5000
Mailing Address - Country:US
Mailing Address - Phone:949-994-2900
Mailing Address - Fax:
Practice Address - Street 1:507 S CITADELL LN
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-4204
Practice Address - Country:US
Practice Address - Phone:949-994-2900
Practice Address - Fax:949-608-0899
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor