Provider Demographics
NPI:1346392867
Name:AHMED, GHAZALA N (MD)
Entity type:Individual
Prefix:
First Name:GHAZALA
Middle Name:N
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 1:2150 N JOSEY LN STE 208
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2982
Mailing Address - Country:US
Mailing Address - Phone:972-245-4600
Mailing Address - Fax:
Practice Address - Street 1:2150 N JOSEY LN STE 208
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2982
Practice Address - Country:US
Practice Address - Phone:972-245-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011169532084P0800X
OH35.1359972084P0800X
NE214122084P0800X
IN01051796A2084P0800X
CODR.00528292084P0800X
TXS85142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H23682Medicare UPIN