Provider Demographics
NPI:1316960941
Name:AHMED, ABDURHMAN (MD)
Entity type:Individual
Prefix:
First Name:ABDURHMAN
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
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:PO BOX 1032
Mailing Address - Street 2:THROGGS NECK STATION
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-0996
Mailing Address - Country:US
Mailing Address - Phone:718-562-2481
Mailing Address - Fax:718-562-2482
Practice Address - Street 1:2385 ARTHUR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-8184
Practice Address - Country:US
Practice Address - Phone:718-562-2481
Practice Address - Fax:718-562-2482
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171139207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8765603OtherOXFORD
NY2500325OtherGHI
NY01179657Medicaid
NY52F493Medicare PIN
NY01179657Medicaid