Healthcare Provider Details

I. General information

NPI: 1346777638
Provider Name (Legal Business Name): BASHARAT AHMAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date: 12/18/2017
Reactivation Date: 12/28/2017

III. Provider practice location address

2041 GEORGE AVENUE N.W. HOWARD UNIVERSITY HOSPITAL
WASHINGTON DC
20060
US

IV. Provider business mailing address

2041 GEORGE AVENUE N.W. HOWARD UNIVERSITY HOSPITAL
WASHINGTON DC
20060
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6100
  • Fax: 202-745-3731
Mailing address:
  • Phone: 202-865-6100
  • Fax: 202-745-3731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.152972
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: