MEDICARE: MEDINA M AHMED

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	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RBT-21183979	OTHER	VA	RBT

General Provider Information

NPI Number	:	1326783507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEDINA M AHMED

Provider Business Mailing Address
First Line	:	313 E BROAD ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23219-1737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 OAKVIEW GARDENS DR APT 323
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-5828
Country	:	US
Telephone Number	:	572-699-5561
Fax Number	:

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

Provider Enumeration Date	:	05/02/2022
Last Update Date	:	02/15/2026

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1558562405 — MS. JANE MCCURDY ALLEN RNFA
Practice Location Address:

2230 LIBERTY HILL CHURCH RD
MONROE, GA
30655-5828

Practice Phone: 770-207-9414
Practice Fax:

1538355532 — MR. JAMES ALBERT KING MS, OTR/L
Practice Location Address:

4846 WIND RIVER RD
IDAHO FALLS, ID
83401-5828

Practice Phone: 208-339-7234
Practice Fax: 208-552-0395

1821491424 — RENAISSANCE REHAB
Practice Location Address:

4846 WIND RIVER RD
IDAHO FALLS, ID
83401-5828

Practice Phone: 208-339-7234
Practice Fax: 208-552-0395

1326443607 — PEDIATRIC DEVELOPMENT CLINIC
Practice Location Address:

4846 WIND RIVER RD
IDAHO FALLS, ID
83401-5828

Practice Phone: 208-339-7234
Practice Fax: 208-552-0935

1588515902 — FAEZEH AKBAR
Practice Location Address:

6066 LEESBURG PIKE STE 520
FALLS CHURCH, VA
22041-2220

Practice Phone: 202-758-4616
Practice Fax:

Directions to “ MEDINA M AHMED ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.