Healthcare Provider Details

I. General information

NPI: 1831073527
Provider Name (Legal Business Name): HASSAN AHMED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 THIRD ST APT 2W
MANCHESTER NH
03102
US

IV. Provider business mailing address

83 THIRD ST APT 2W
MANCHESTER NH
03102
US

V. Phone/Fax

Practice location:
  • Phone: 857-399-3217
  • Fax:
Mailing address:
  • Phone: 857-399-3217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: