Healthcare Provider Details

I. General information

NPI: 1982131397
Provider Name (Legal Business Name): HANNAH AHMED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 07/09/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 WEST EL CAMINO
SUNNYVALE CA
94087
US

IV. Provider business mailing address

171 LA CANADA CT
LOS GATOS CA
95032-7678
US

V. Phone/Fax

Practice location:
  • Phone: 949-403-6919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA173132
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: