=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568323251
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAROSH AHMED M.D.P.A
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/21/2025
-----------------------------------------------------
Last Update Date | 11/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1651 N COLLINS BLVD
-----------------------------------------------------
City | RICHARDSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75080-3658
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-730-6578
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5401 TENNYSON CT
-----------------------------------------------------
City | PARKER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75002-2773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-730-6578
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | DR. SAROSH AHMED
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 312-730-6578
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------