MEDICARE: SABEEN 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	25MA10269300	NJ
2	207R00000X	Internal Medicine Physician	25MA10269300	NJ
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1619362225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABEEN AHMED M.D.

Provider Business Mailing Address
First Line	:	51 VERONICA AVE
Second Line	:
City	:	SOMERSET
State	:	NJ
Zip	:	08873-3448
Country	:	US
Telephone Number	:	732-846-7000
Fax Number	:	732-846-7001

Provider Business Practice Location Address
First Line	:	1925 STATE ROUTE 27
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08817-3250
Country	:	US
Telephone Number	:	732-846-7000
Fax Number	:	732-846-7001

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

Provider Enumeration Date	:	03/31/2015
Last Update Date	:	03/28/2023

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