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General NPI Number Information
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NPI Number | 1588774178
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Entity Type | Individual
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Provider Name | HAMID AHMADI MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 5820 COVEHAVEN DR
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City | DALLAS
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State | TX
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Zip | 75252-5228
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Country | US
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Telephone | 601-898-4400
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Fax | 601-898-4404
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Provider Business Mailing Address
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Address Line | PO BOX 795519
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City | DALLAS
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State | TX
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Zip | 75379-5519
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Country | US
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Telephone | 601-898-4400
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Fax | 601-898-4404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | J4681
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License Number State | TX
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