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NPI Code Detail

MEDICARE: DR. RAGDA AHMED MD

MEDICARE: DR. RAGDA 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
1207R00000XInternal Medicine Physician036178526IL
2207R00000XInternal Medicine PhysicianE-19497AR

General Provider Information

NPI Number : 1609571405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAGDA AHMED MD
Provider Business Mailing Address
First Line : 150 E UNIVERSITY BLVD APT 202
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-7001
Country : US
Telephone Number : 601-631-4847
Fax Number :
Provider Business Practice Location Address
First Line : 1710 HARRISON ST
Second Line :
City : BATESVILLE
State : AR
Zip : 72501-7303
Country : US
Telephone Number : 870-262-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 05/19/2026

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