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NPI Code Detail

MEDICARE: DR. ASADULLAH AHMED M.D.

MEDICARE:  DR. ASADULLAH  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
12084P0800XPsychiatry Physician107672MO
22084P0804XChild & Adolescent Psychiatry PhysicianT7144TX
32084P0804XChild & Adolescent Psychiatry Physician107672MO

Other Identifiers

General Provider Information

NPI Number : 1316923436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASADULLAH AHMED M.D.
Provider Business Mailing Address
First Line : 3232 WESTBERRY SQ
Second Line :
City : JOPLIN
State : MO
Zip : 64804-1586
Country : US
Telephone Number : 417-347-7620
Fax Number : 417-347-7629
Provider Business Practice Location Address
First Line : 4825 ALLIANCE BLVD STE 150
Second Line :
City : PLANO
State : TX
Zip : 75093-5504
Country : US
Telephone Number : 844-824-8775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 03/10/2026

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