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NPI Code Detail

MEDICARE: FIRAS SALEM AHMED MD

MEDICARE:   FIRAS SALEM AHMED  MD
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
12085R0202XDiagnostic Radiology Physician278318NY

General Provider Information

NPI Number : 1427341551
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIRAS SALEM AHMED MD
Provider Business Mailing Address
First Line : 75 FRANCIS STREET
Second Line : BRIGHAM AND WOMEN'S HOSPITAL
City : BOSTON
State : MA
Zip : 02115
Country : US
Telephone Number : 617-732-8052
Fax Number : 617-732-6317
Provider Business Practice Location Address
First Line : 622 WEST 168TH STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10032-3722
Country : US
Telephone Number : 212-305-9022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2011
Last Update Date : 03/29/2017

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