MEDICARE: SAIF KHALID AHMEDI PA-C

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	363AM0700X	Medical Physician Assistant	PA07019	TX
2	363A00000X	Physician Assistant	PA07019	TX

General Provider Information

NPI Number	:	1255626644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIF KHALID AHMEDI PA-C

Provider Business Mailing Address
First Line	:	3018 W HAMPTON DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3448
Country	:	US
Telephone Number	:	713-584-3647
Fax Number	:

Provider Business Practice Location Address
First Line	:	3018 W HAMPTON DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3448
Country	:	US
Telephone Number	:	713-584-3647
Fax Number	:

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

Provider Enumeration Date	:	06/14/2011
Last Update Date	:	02/06/2023

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Directions to “ SAIF KHALID AHMEDI PA-C” Practice Location

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