Healthcare Provider Details

I. General information

NPI: 1265403620
Provider Name (Legal Business Name): HESHAM AHMED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 12/02/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-3550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD069590L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: