Healthcare Provider Details

I. General information

NPI: 1053288019
Provider Name (Legal Business Name): AHMED GHUMAN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 EVERGREEN AVE STE 201
PITTSBURGH PA
15209-2257
US

IV. Provider business mailing address

820 EVERGREEN AVE
PITTSBURGH PA
15209-2257
US

V. Phone/Fax

Practice location:
  • Phone: 610-202-7488
  • Fax:
Mailing address:
  • Phone: 610-202-7488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS018580
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: