MEDICARE: ISMAIL SULEMAN AHMED MD

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	207RC0000X	Cardiovascular Disease Physician	35062321A	OH
2	207RI0011X	Interventional Cardiology Physician	35062321	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1023347192	OTHER	OH	MERCY HEALTH PHYSICIANS LORAIN LLC NPI
4	1043511595	OTHER	OH	AKRON CARDIOVASCULAR ASSOCIATES TYPE @ NPI #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI #

General Provider Information

NPI Number	:	1356324115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISMAIL SULEMAN AHMED MD

Provider Business Mailing Address
First Line	:	PO BOX 636643
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6643
Country	:	US
Telephone Number	:	440-989-3801
Fax Number	:	440-960-0264

Provider Business Practice Location Address
First Line	:	1120 E BROAD ST
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-6306
Country	:	US
Telephone Number	:	440-366-2239
Fax Number	:	440-365-1366

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

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	01/05/2015

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Directions to “ ISMAIL SULEMAN AHMED MD” Practice Location

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