Healthcare Provider Details

I. General information

NPI: 1023454600
Provider Name (Legal Business Name): THANIYYAH S AHMAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2483
US

IV. Provider business mailing address

101 MANNING DR 3040 BURNETT WOMACK BLDG.,CB# 7065
CHAPEL HILL NC
27599-7065
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-3000
  • Fax:
Mailing address:
  • Phone: 919-966-3381
  • Fax: 919-966-3475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number191595
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number354035
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: