MEDICARE: YASIR AHMED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	Q6137	TX
2	207R00000X	Internal Medicine Physician	Q6137	TX

General Provider Information

NPI Number	:	1023308210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASIR AHMED M.D.

Provider Business Mailing Address
First Line	:	3414 OLD GOLIAD RD
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77905-3405
Country	:	US
Telephone Number	:	888-685-6840
Fax Number	:

Provider Business Practice Location Address
First Line	:	3414 OLD GOLIAD RD
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77905-3405
Country	:	US
Telephone Number	:	757-753-1833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2011
Last Update Date	:	09/12/2024

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Directions to “ YASIR AHMED M.D.” Practice Location

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