Healthcare Provider Details

I. General information

NPI: 1821559527
Provider Name (Legal Business Name): JUMAH G AHMAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DUKE MEDICINE CIR CLINIC 1F CLINIC 1F
DURHAM NC
27710-4000
US

IV. Provider business mailing address

40 DUKE MEDICINE CIR CLINIC 1F
DURHAM NC
27710-4000
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-6968
  • Fax: 919-684-9108
Mailing address:
  • Phone: 919-684-6968
  • Fax: 919-684-9108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number2026-02156
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2026-02156
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: