MEDICARE: DR. HUMA P 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
1	207RR0500X	Rheumatology Physician	062935	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972616241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUMA P AHMED MD

Provider Business Mailing Address
First Line	:	4730 HAMMOND INDUSTRIAL DR
Second Line	:	STE 400
City	:	CUMMING
State	:	GA
Zip	:	30041-3917
Country	:	US
Telephone Number	:	770-205-2220
Fax Number	:	770-205-7112

Provider Business Practice Location Address
First Line	:	2443 BROOKSTONE CENTRE PKWY STE A
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-4664
Country	:	US
Telephone Number	:	706-320-8900
Fax Number	:	706-320-8919

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	07/21/2022

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