Healthcare Provider Details

I. General information

NPI: 1467859082
Provider Name (Legal Business Name): JAVAAD AHMAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2014
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 GEORGE ST
BABYLON NY
11702-2806
US

IV. Provider business mailing address

60 GEORGE ST
BABYLON NY
11702-2806
US

V. Phone/Fax

Practice location:
  • Phone: 631-494-7618
  • Fax:
Mailing address:
  • Phone: 631-494-7618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number304575
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: