Healthcare Provider Details

I. General information

NPI: 1962064196
Provider Name (Legal Business Name): AMMAR AHMED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2019
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 GOODYEAR AVE
GADSDEN AL
35903-1195
US

IV. Provider business mailing address

1007 GOODYEAR AVE
GADSDEN AL
35903-1195
US

V. Phone/Fax

Practice location:
  • Phone: 256-494-4000
  • Fax:
Mailing address:
  • Phone: 256-494-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number54199
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: