MEDICARE: NASIHA AHMAD 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	207V00000X	Obstetrics & Gynecology Physician	C1-0026034	DE
2	207VG0400X	Gynecology Physician	G9703	TX
3	207V00000X	Obstetrics & Gynecology Physician	G9703	TX

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	P01485758	OTHER	TX	RAIL ROAD

General Provider Information

NPI Number	:	1821050071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASIHA AHMAD MD

Provider Business Mailing Address
First Line	:	2535 CHARLOTTE ST STE 101
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-5661
Country	:	US
Telephone Number	:	940-566-1200
Fax Number	:	940-566-1211

Provider Business Practice Location Address
First Line	:	2535 CHARLOTTE ST STE 101
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201
Country	:	US
Telephone Number	:	940-566-1200
Fax Number	:	940-566-1211

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	09/25/2023

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Directions to “ NASIHA AHMAD MD” Practice Location

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