MEDICARE: MUHAMMOD 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	207L00000X	Anesthesiology Physician	01061654A	IN
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	01061654A	IN
3	207L00000X	Anesthesiology Physician	235414	NY

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992745806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMOD AHMAD MD

Provider Business Mailing Address
First Line	:	1942 E DUPONT RD STE A
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1582
Country	:	US
Telephone Number	:	260-408-6171
Fax Number	:	260-201-0189

Provider Business Practice Location Address
First Line	:	1942 E DUPONT RD STE A
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1582
Country	:	US
Telephone Number	:	260-408-6171
Fax Number	:	260-201-0189

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	12/12/2025

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