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NPI Code Detail

MEDICARE: BASEM B. AHMED M.D.

MEDICARE:   BASEM B. 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician946513KS

General Provider Information

NPI Number : 1609908821
Entity Type Code : Individual
Provider Name (Legal Business Name) : BASEM B. AHMED M.D.
Provider Business Mailing Address
First Line : 10819 NOLAND CT
Second Line :
City : LENEXA
State : KS
Zip : 66210-3739
Country : US
Telephone Number : 913-469-0048
Fax Number :
Provider Business Practice Location Address
First Line : UNIVERSITY OF KANSAS MEDICAL CTR 3901 RAINBOW BLVD
Second Line : 2017 WAHL HALL WEST MS 3045
City : KANSAS CITY
State : KS
Zip : 66160-0001
Country : US
Telephone Number : 913-588-7070
Fax Number : 913-588-7076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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