Healthcare Provider Details

I. General information

NPI: 1770965519
Provider Name (Legal Business Name): ADIL S AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2015
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 CENTRAL EXPY N STE 360
ALLEN TX
75013-6111
US

IV. Provider business mailing address

600 E TAYLOR ST STE 103
SHERMAN TX
75090-2810
US

V. Phone/Fax

Practice location:
  • Phone: 972-747-6042
  • Fax: 972-747-6043
Mailing address:
  • Phone: 39-893-7170
  • Fax: 903-893-4372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberT0987
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT0987
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: