Provider Demographics
NPI:1346079647
Name:MEKAIL AHMED MD PLLC
Entity type:Organization
Organization Name:MEKAIL AHMED MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEKAIL
Authorized Official - Middle Name:T
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-481-6542
Mailing Address - Street 1:14222 PERSHING CRES FL 2
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2022
Mailing Address - Country:US
Mailing Address - Phone:347-481-6542
Mailing Address - Fax:
Practice Address - Street 1:14222 PERSHING CRES FL 2
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-2022
Practice Address - Country:US
Practice Address - Phone:347-481-6542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care