MEDICARE: CONTESSIA AHMED

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	343900000X	Non-emergency Medical Transport (VAN)
2	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1154013688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONTESSIA AHMED

Provider Business Mailing Address
First Line	:	4202 GILLESPIE ST UNIT B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77020-6353
Country	:	US
Telephone Number	:	414-600-3255
Fax Number	:

Provider Business Practice Location Address
First Line	:	10333 HARWIN DR STE 375J
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1760
Country	:	US
Telephone Number	:	414-600-3255
Fax Number	:

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

Provider Enumeration Date	:	05/23/2023
Last Update Date	:	06/14/2023

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Directions to “ CONTESSIA AHMED ” Practice Location

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