Healthcare Provider Details

I. General information

NPI: 1558328401
Provider Name (Legal Business Name): ZAHEER AHMED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 S WOODS MILL RD SUITE 400E
CHESTERFIELD MO
63017-3417
US

IV. Provider business mailing address

232 S WOODS MILL RD SUITE 400E
CHESTERFIELD MO
63017-3417
US

V. Phone/Fax

Practice location:
  • Phone: 314-878-2888
  • Fax: 314-878-4026
Mailing address:
  • Phone: 314-878-2888
  • Fax: 314-878-4026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2011024402
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: