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NPI Code Detail

MEDICARE: DR. FAHEEM AHMED M.D.

MEDICARE: DR. FAHEEM 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
1207RH0003XHematology & Oncology PhysicianN4888TX
2207R00000XInternal Medicine PhysicianN4888TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538163860
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FAHEEM AHMED M.D.
Provider Business Mailing Address
First Line : 207 CABO DEL SOL CV
Second Line :
City : AUSTIN
State : TX
Zip : 78738-1719
Country : US
Telephone Number : 512-545-7842
Fax Number :
Provider Business Practice Location Address
First Line : 2000 MEDICAL DR
Second Line :
City : LAKEWAY
State : TX
Zip : 78734-4200
Country : US
Telephone Number : 512-000-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 06/28/2021

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