Healthcare Provider Details
I. General information
NPI: 1972574275
Provider Name (Legal Business Name): NAJEEB AHMED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2006
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1174 EAST HOME ROAD
SPRINGFIELD OH
45503
US
IV. Provider business mailing address
425 SECRETARIAT DR
SPRINGFIELD OH
45503-3585
US
V. Phone/Fax
- Phone: 937-398-0354
- Fax: 937-398-0358
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 24143 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 71047 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 35078350 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 01054842A |
| License Number State | IN |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 35-07-8350-A |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: