Provider Demographics
NPI:1073647327
Name:HANY H. AHMED, MD, PA
Entity Type:Organization
Organization Name:HANY H. AHMED, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANY
Authorized Official - Middle Name:HAGAG
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-429-5612
Mailing Address - Street 1:1919 N. LOOP WEST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-0938
Mailing Address - Country:US
Mailing Address - Phone:713-426-5612
Mailing Address - Fax:
Practice Address - Street 1:1919 N. LOOP WEST
Practice Address - Street 2:SUITE 115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1374
Practice Address - Country:US
Practice Address - Phone:713-429-5612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1452207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178317701Medicaid
TX178320101Medicaid
TX178320101Medicaid
TXI42891Medicare UPIN