Healthcare Provider Details

I. General information

NPI: 1437546405
Provider Name (Legal Business Name): LINDSAY ANNE AHMED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY ANNE SHORT MD

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 N. HIGHLAND SPRINGS AVE
BEAUMONT CA
92223
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 951-845-0313
  • Fax:
Mailing address:
  • Phone: 702-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA149720
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: