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NPI Code Detail

MEDICARE: RAEES AHMED M.D.

MEDICARE:   RAEES  AHMED  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianN0595TX

General Provider Information

NPI Number : 1013180793
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAEES AHMED M.D.
Provider Business Mailing Address
First Line : 2603 SENTRY OAK WAY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-1981
Country : US
Telephone Number : 914-316-3031
Fax Number :
Provider Business Practice Location Address
First Line : 2603 SENTRY OAK WAY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-1981
Country : US
Telephone Number : 914-316-3031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2008
Last Update Date : 08/29/2022

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