Provider Demographics
NPI:1699755009
Name:AHMED, SAGHIR (MD)
Entity type:Individual
Prefix:
First Name:SAGHIR
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 1:890 2ND ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-6863
Mailing Address - Country:US
Mailing Address - Phone:478-745-4322
Mailing Address - Fax:478-750-8789
Practice Address - Street 1:890 2ND ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-6863
Practice Address - Country:US
Practice Address - Phone:478-745-4322
Practice Address - Fax:478-750-8789
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044664174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000867325IMedicaid
GA000867325NMedicaid
GA000867325RMedicaid
GA000867325UMedicaid
GA000867325JMedicaid
GA000867325MMedicaid
GA000867325LMedicaid
GA000867325OMedicaid
GA000867325PMedicaid
GA000867325HMedicaid
GA000867325QMedicaid
GA180599206MMedicaid
GA000867325GMedicaid
GA000867325KMedicaid
GA000867325UMedicaid
GA000867325UMedicaid