Provider Demographics
NPI:1043281025
Name:AHMAD, SALMAN (MD)
Entity Type:Individual
Prefix:
First Name:SALMAN
Middle Name:
Last Name:AHMAD
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 1:2345 50TH ST # 500
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-2565
Mailing Address - Country:US
Mailing Address - Phone:806-701-5797
Mailing Address - Fax:806-701-5798
Practice Address - Street 1:2345 50TH ST # 500
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2565
Practice Address - Country:US
Practice Address - Phone:806-701-5797
Practice Address - Fax:806-701-5798
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8863207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110205283OtherRAILROAD MEDICARE
TX00545LOtherBCBS TX
TX127015902Medicaid
00545LMedicare PIN
110205283OtherRAILROAD MEDICARE