Provider Demographics
NPI:1124050067
Name:AHMED, ZAHRA BUTOOL (MD)
Entity type:Individual
Prefix:DR
First Name:ZAHRA
Middle Name:BUTOOL
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3509
Mailing Address - Country:US
Mailing Address - Phone:301-313-0425
Mailing Address - Fax:301-313-0435
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 105
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3509
Practice Address - Country:US
Practice Address - Phone:301-313-0425
Practice Address - Fax:301-313-0435
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063394207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408937500Medicaid
MD408937500Medicaid
MD017698D71Medicare ID - Type Unspecified