MEDICARE: ABDURHMAN 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	207RN0300X	Nephrology Physician	171139	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8765603	OTHER		OXFORD
2	2500325	OTHER	NY	GHI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316960941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDURHMAN AHMED M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1032
Second Line	:	THROGGS NECK STATION
City	:	BRONX
State	:	NY
Zip	:	10465-0996
Country	:	US
Telephone Number	:	718-562-2481
Fax Number	:	718-562-2482

Provider Business Practice Location Address
First Line	:	2385 ARTHUR AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-8184
Country	:	US
Telephone Number	:	718-562-2481
Fax Number	:	718-562-2482

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	05/20/2008

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