Healthcare Provider Details

I. General information

NPI: 1104866045
Provider Name (Legal Business Name): SOHAIL AHMED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 HERITAGE PKWY STE 160
ROCKWALL TX
75087-8797
US

IV. Provider business mailing address

6701 HERITAGE PKWY STE 160
ROCKWALL TX
75087-8797
US

V. Phone/Fax

Practice location:
  • Phone: 469-935-7371
  • Fax: 844-269-5425
Mailing address:
  • Phone: 469-935-7371
  • Fax: 844-269-5425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberP5319
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP5319
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2026-04149
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: