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NPI Code Detail

MEDICARE: SAMIR AHMAD,MD,PA

MEDICARE: SAMIR AHMAD,MD,PA
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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianK9475TX

General Provider Information

NPI Number : 1942266747
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMIR AHMAD,MD,PA
Provider Business Mailing Address
First Line : 1600 N LEE TREVINO DR
Second Line : STE# B4
City : EL PASO
State : TX
Zip : 79936-5169
Country : US
Telephone Number : 915-629-8100
Fax Number : 915-629-8103
Provider Business Practice Location Address
First Line : 1600 N LEE TREVINO DR
Second Line : STE# B4
City : EL PASO
State : TX
Zip : 79936-5169
Country : US
Telephone Number : 915-629-8100
Fax Number : 915-629-8103
Authorized Official
Title or Position : PRESIDENT
Name : DR. SAMIR ABED AHMAD
Credential : M.D
Telephone Number : 915-629-8100
Provider Enumeration Date : 04/21/2006
Last Update Date : 08/22/2020

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