Provider Demographics
NPI:1386615433
Name:SLIM, AHMAD M (MD,)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:M
Last Name:SLIM
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:DR
Other - First Name:AHMAD
Other - Middle Name:M
Other - Last Name:SLIM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:315 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:#8648
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4234
Mailing Address - Country:US
Mailing Address - Phone:253-459-8231
Mailing Address - Fax:253-459-7863
Practice Address - Street 1:1901 SOUTH CEDAR ST
Practice Address - Street 2:SUITE 301
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:504-988-6113
Practice Address - Fax:504-988-7795
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD12953207RC0000X
TXM4947207RC0000X
LAMD.207396207RC0000X
WAMD60685473207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CM520OtherBCBS
TX208535901Medicaid
TX208535901Medicaid
TXTXB112474Medicare PIN