Healthcare Provider Details

I. General information

NPI: 1598159469
Provider Name (Legal Business Name): FATIMAH ZAHRA AHMED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 MIDWAY RD STE 650
PLANO TX
75093-8139
US

IV. Provider business mailing address

3405 MIDWAY RD STE 650
PLANO TX
75093-8139
US

V. Phone/Fax

Practice location:
  • Phone: 972-473-7777
  • Fax: 972-473-7780
Mailing address:
  • Phone: 972-473-7777
  • Fax: 972-473-7780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR5064
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: