Healthcare Provider Details

I. General information

NPI: 1811399504
Provider Name (Legal Business Name): ADNAN AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20805 W 151ST ST STE 400
OLATHE KS
66061-7249
US

IV. Provider business mailing address

2900 N LAKE SHORE DR SUITE NO. 203
CHICAGO IL
60657-5640
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 773-665-6730
  • Fax: 773-665-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.141658
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number04-44566
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: