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NPI Code Detail

MEDICARE: AZEEMUDDIN AHMED MD

MEDICARE: AZEEMUDDIN 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
1207P00000XEmergency Medicine Physician36252IA
2207P00000XEmergency Medicine Physician45753OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
139650OTHERIAWELLMARK BCBS

General Provider Information

NPI Number : 1609850148
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZEEMUDDIN AHMED MD
Provider Business Mailing Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-5321
Fax Number :
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-5321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 11/25/2025

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Directions to “ AZEEMUDDIN AHMED MD” Practice Location

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