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NPI Code Detail

MEDICARE: R AHMED MD PLLC

MEDICARE: R AHMED MD PLLC
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 Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N0595OTHERTXTEXAS MEDICAL BOARD

General Provider Information

NPI Number : 1073134334
Entity Type Code : Organization
Provider Name (Legal Business Name) : R AHMED MD PLLC
Provider Business Mailing Address
First Line : 2603 SENTRY OAK WAY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-1981
Country : US
Telephone Number : 281-896-8599
Fax Number : 281-201-2981
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 : 281-896-8599
Fax Number : 281-201-2981
Authorized Official
Title or Position : MD
Name : RAEES AHMED
Credential :
Telephone Number : 281-896-8599
Provider Enumeration Date : 04/28/2020
Last Update Date : 04/28/2020

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