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General NPI Number Information
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NPI Number | 1770089138
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Entity Type | Individual
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Provider Name | KHADIJA AHMED DO
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Gender | Female
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 3188 BELLEVUE AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2369
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Country | US
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Telephone | 513-584-7355
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Fax | 513-584-0431
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Provider Business Mailing Address
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Address Line | PO BOX 636256
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-585-6200
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Fax | 513-245-3672
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34.016574
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 58.031116
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License Number State | OH
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