Provider Demographics
NPI:1043247687
Name:AHMED, SUMAIRA (MD)
Entity Type:Individual
Prefix:
First Name:SUMAIRA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 NAVARRO ST.
Mailing Address - Street 2:STE #1401
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2534
Mailing Address - Country:US
Mailing Address - Phone:210-579-3468
Mailing Address - Fax:210-587-8145
Practice Address - Street 1:1975 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4584
Practice Address - Country:US
Practice Address - Phone:910-200-7022
Practice Address - Fax:210-200-7115
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080023882084P0800X
TXQ43612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry