MEDICARE: DR. HAMAD AHMAD MD

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
1	207P00000X	Emergency Medicine Physician	E-12132	AR
2	207Q00000X	Family Medicine Physician	48437	TN
3	207Q00000X	Family Medicine Physician	E-12132	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013271485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMAD AHMAD MD

Provider Business Mailing Address
First Line	:	4772 NAVY RD
Second Line	:	SUITE A
City	:	MILLINGTON
State	:	TN
Zip	:	38053-1927
Country	:	US
Telephone Number	:	901-873-0930
Fax Number	:	901-873-0931

Provider Business Practice Location Address
First Line	:	4772 NAVY RD
Second Line	:	SUITE A
City	:	MILLINGTON
State	:	TN
Zip	:	38053-1927
Country	:	US
Telephone Number	:	901-873-0930
Fax Number	:	901-873-0931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2012
Last Update Date	:	09/08/2025

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Directions to “ DR. HAMAD AHMAD MD” Practice Location

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