MEDICARE: DR. SYED OMAR AHMAD OTD, PH.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	225X00000X	Occupational Therapist	2445	KS

General Provider Information

NPI Number	:	1275714313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED OMAR AHMAD OTD, PH.D.

Provider Business Mailing Address
First Line	:	15103 W 84TH TER
Second Line	:
City	:	LENEXA
State	:	KS
Zip	:	66219-1809
Country	:	US
Telephone Number	:	913-620-2150
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 ANTIOCH RD STE 430
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-1258
Country	:	US
Telephone Number	:	913-652-9229
Fax Number	:

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

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	11/16/2007

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