Healthcare Provider Details

I. General information

NPI: 1336306299
Provider Name (Legal Business Name): SAEED AHMED MD PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 WOODLAND DR
ELIZABETHTOWN KY
42701-2789
US

IV. Provider business mailing address

1107 WOODLAND DR
ELIZABETHTOWN KY
42701-2789
US

V. Phone/Fax

Practice location:
  • Phone: 270-765-4540
  • Fax: 270-737-6425
Mailing address:
  • Phone: 270-765-4540
  • Fax: 270-737-6425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number23813
License Number StateKY

VIII. Authorized Official

Name: DR. SAEED AHMED
Title or Position: OWNER
Credential: M.D.
Phone: 270-765-4540