Provider Demographics
NPI:1316171705
Name:MUHAMMAD, AHMAD TALIB (MD)
Entity type:Individual
Prefix:
First Name:AHMAD
Middle Name:TALIB
Last Name:MUHAMMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AHMED
Other - Middle Name:TALIB
Other - Last Name:MOHAMEED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9544 RICHMOND AVE STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3834
Mailing Address - Country:US
Mailing Address - Phone:713-426-0027
Mailing Address - Fax:713-526-1422
Practice Address - Street 1:9544 RICHMOND AVE STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3834
Practice Address - Country:US
Practice Address - Phone:713-426-0027
Practice Address - Fax:713-526-1422
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ70862086S0129X, 208D00000X
TX08-227246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist