Healthcare Provider Details

I. General information

NPI: 1346392867
Provider Name (Legal Business Name): GHAZALA N AHMED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 N JOSEY LN STE 208
CARROLLTON TX
75006-2982
US

IV. Provider business mailing address

2150 N JOSEY LN STE 208
CARROLLTON TX
75006-2982
US

V. Phone/Fax

Practice location:
  • Phone: 972-245-4600
  • Fax:
Mailing address:
  • Phone: 972-245-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301116953
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.135997
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number21412
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01051796A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0052829
License Number StateCO
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberS8514
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: