MEDICARE: AHMED JAHANGEER 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	2084P0800X	Psychiatry Physician	MD070419L	PA
2	2084P0800X	Psychiatry Physician	0101266074	VA

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	:	1033153127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMED JAHANGEER MD

Provider Business Mailing Address
First Line	:	3104 ANTHEO CT
Second Line	:
City	:	MURRYSVILLE
State	:	PA
Zip	:	15668-1333
Country	:	US
Telephone Number	:	724-493-7055
Fax Number	:	412-731-9834

Provider Business Practice Location Address
First Line	:	2244 EXECUTIVE DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2430
Country	:	US
Telephone Number	:	757-827-1001
Fax Number	:

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	06/02/2020

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