MEDICARE: SUNDAS IRFAN 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	207R00000X	Internal Medicine Physician	311900-01	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	V6252	TX

General Provider Information

NPI Number	:	1477040590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNDAS IRFAN AHMED MD

Provider Business Mailing Address
First Line	:	8353 CULEBRA RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1903
Country	:	US
Telephone Number	:	210-706-2580
Fax Number	:	210-706-2582

Provider Business Practice Location Address
First Line	:	8353 CULEBRA RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1903
Country	:	US
Telephone Number	:	210-706-2580
Fax Number	:	210-706-2582

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

Provider Enumeration Date	:	04/13/2018
Last Update Date	:	07/23/2025

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