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Licensing details for: A 204375

Name: Ahmed, Fahim Newton

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: California Northstate University College of Medicine

Graduation Year: 2024

Address of Record

1700 S Runyan St
LA HABRA CA 90631-2094
ORANGE county
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Issuance Date

August 4, 2025

Expiration Date

October 31, 2027

Current Date / Time

April 3, 2026
3:38:36 AM

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Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Ahmed, Fahim Newton

License/Registration Type: Postgraduate Training License

License Number: 16237 Primary Status: License Canceled

Address :
3870 Main St Apt 305
RIVERSIDE CA 92501-3607
RIVERSIDE COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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