MEDICARE: HAMZA AHMED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	106S00000X	Behavior Technician
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1194232546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAMZA AHMED

Provider Business Mailing Address
First Line	:	PO BOX 1490
Second Line	:
City	:	BOONE
State	:	NC
Zip	:	28607-0682
Country	:	US
Telephone Number	:	828-262-3886
Fax Number	:	828-265-4816

Provider Business Practice Location Address
First Line	:	2845 SUGAR HILL RD STE 10
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-6891
Country	:	US
Telephone Number	:	828-398-0120
Fax Number	:	828-570-0120

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

Provider Enumeration Date	:	01/08/2018
Last Update Date	:	06/03/2026

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Directions to “ HAMZA AHMED ” Practice Location

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