MEDICARE: NABIL M AHMAD 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	207RC0000X	Cardiovascular Disease Physician	L0739	TX

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	:	1235131319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NABIL M AHMAD MD

Provider Business Mailing Address
First Line	:	1105 N WASHINGTON AVE
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-3732
Country	:	US
Telephone Number	:	281-593-2899
Fax Number	:	281-592-0479

Provider Business Practice Location Address
First Line	:	1105 N WASHINGTON AVE
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-3732
Country	:	US
Telephone Number	:	281-593-2899
Fax Number	:	281-592-0479

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	08/29/2012

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