Provider Demographics
NPI:1285715664
Name:AHMED, MAQSOOD (MD)
Entity type:Individual
Prefix:
First Name:MAQSOOD
Middle Name:
Last Name:AHMED
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 CENTRAL HEIGHTS RD
Mailing Address - Street 2:SUITE A-C
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-6513
Mailing Address - Country:US
Mailing Address - Phone:919-751-5900
Mailing Address - Fax:919-751-1111
Practice Address - Street 1:2902 CENTRAL HEIGHTS RD
Practice Address - Street 2:SUITE A-C
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-6513
Practice Address - Country:US
Practice Address - Phone:919-751-5900
Practice Address - Fax:919-751-1111
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700837207Q00000X, 207RA0401X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0284XOtherNC BLUE CROSS BLUE SHIELD
NC89011NVMedicaid
NC891118AMedicaid
NC891118AMedicaid
NC2244028BMedicare ID - Type Unspecified