MEDICARE: MOHAMMED IQBAL 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	207L00000X	Anesthesiology Physician	151881	MA
2	207L00000X	Anesthesiology Physician	Q6725	TX

General Provider Information

NPI Number	:	1578510863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED IQBAL AHMED M.D.

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:	MC 9068
City	:	DALLAS
State	:	TX
Zip	:	75390-9068
Country	:	US
Telephone Number	:	214-648-3111
Fax Number	:	214-648-5461

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:	MC 9068
City	:	DALLAS
State	:	TX
Zip	:	75390-9068
Country	:	US
Telephone Number	:	214-648-3111
Fax Number	:	214-648-5461

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	12/31/2015

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