Provider Demographics
NPI:1851353502
Name:EBEID, AHMED (MD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:
Last Name:EBEID
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 1:2531 STEINWAY ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3788
Mailing Address - Country:US
Mailing Address - Phone:929-463-7104
Mailing Address - Fax:
Practice Address - Street 1:2531 STEINWAY ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3788
Practice Address - Country:US
Practice Address - Phone:929-463-7104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD28743207L00000X, 207LP2900X, 208VP0000X, 208VP0014X
NY28074501208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
31700OtherNHP
23696-6OtherBCBS
216596OtherTUFTS
277051OtherHPHC
97144003OtherNETWORK HEALTH
30484OtherNHP
AA64206OtherHPHC
3977684OtherAETNA
0028221OtherNHP
MA59338OtherFHP
MAAA36440OtherHPHC
MA201321529OtherUNICARE
MA20201504OtherCHOICECARE
MA202705274OtherGREATWEST
216596OtherTUFTS
MAAA47845OtherHPHC
MA3839502OtherAETNA
RI7010408Medicaid
MA000000030239OtherHEALTHNET
NH30207097Medicaid
31700OtherNHP
97144003OtherNETWORK HEALTH
MAJ26688OtherBCBS
MA97144002OtherNETWORK
MA216596OtherTUFTS
RI30900OtherBCBS
3977684OtherAETNA
RI410136OtherBLUE CHIP
MA97144004OtherNETWORK HEALTH
MAAA33539OtherHPHC
AA64206OtherHPHC
23696-6OtherBCBS
MA5484552OtherFIRST HEALTH
97144003OtherNETWORK HEALTH
MA202705274OtherGREATWEST
31700OtherNHP
RI7010408Medicaid
23696-6OtherBCBS
MA216596OtherTUFTS
MA2025655Medicaid