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1205824810

NPI Code Detail

MEDICARE: MR. AMIR R AHMED M.D.

MEDICARE: MR. AMIR R AHMED M.D.

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	207RG0100X	Gastroenterology Physician	2022014629	MO
2	207RG0100X	Gastroenterology Physician	2013-00585	NC
3	207RG0100X	Gastroenterology Physician	39148	SC
4	207RG0100X	Gastroenterology Physician	52921	TN
5	207RG0100X	Gastroenterology Physician	L8585	TX
6	207RG0100X	Gastroenterology Physician	036171841	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00197603	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8K8338	OTHER	TX	BC/BS OF TEXAS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205824810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AMIR R AHMED M.D.

Provider Business Mailing Address
First Line	:	1111 MEDICAL PLAZA DR
Second Line	:	STE 250
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3477
Country	:	US
Telephone Number	:	865-483-4366
Fax Number	:	865-483-5957

Provider Business Practice Location Address
First Line	:	3 RICHLAND MEDICAL PARK DR STE 120
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6850
Country	:	US
Telephone Number	:	803-434-8866
Fax Number	:	803-933-3049

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	12/04/2024

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Directions to “ MR. AMIR R AHMED M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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