Provider Demographics
NPI:1033254115
Name:AHMED, KHALID (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALID
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 1:23315 FITZGERALD RD
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8908
Mailing Address - Country:US
Mailing Address - Phone:410-294-4098
Mailing Address - Fax:425-354-3724
Practice Address - Street 1:2336 GODDARD PKWY
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-1126
Practice Address - Country:US
Practice Address - Phone:410-334-6961
Practice Address - Fax:410-334-6960
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00625442084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD522156095OtherVALUE OPTIONS
MD522156095OtherCOMMERCIAL INSURANCE
MD522156095OtherUNITED BEHAVIORAL HEALTH
MD522156095OtherMAGELLAN
MDR968OtherCAREFIRST BCBS-FEDERAL
MD298470900Medicaid
MD522156095OtherNCPPO
MD522156095OtherAMERICAN PSYCH SYSTEM
MD609550001Medicaid
MD609550002Medicaid
MD522156095OtherCHAMPVA
MD866LOtherMEDICARE
MD517251OtherUNITED HEALTH CARE
MD522156095OtherTRICARE
MD522156095OtherAETNA
MD609550004Medicaid
MDLM49EAOtherCAREFIRST BCBS-LOCAL