Provider Demographics
NPI:1215714589
Name:AHMED, ASHRAF KHALID MAHMOUD (DDS)
Entity type:Individual
Prefix:
First Name:ASHRAF
Middle Name:KHALID MAHMOUD
Last Name:AHMED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22803 US HIGHWAY 281 N APT 11202
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2429
Mailing Address - Country:US
Mailing Address - Phone:202-677-8711
Mailing Address - Fax:
Practice Address - Street 1:20821 US HIGHWAY 281 N STE 310
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7597
Practice Address - Country:US
Practice Address - Phone:210-494-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39995122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist