Provider Demographics
NPI:1083811921
Name:AHMAD, SAIMA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:
Last Name:AHMAD
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 1:6125 CLAYTON AVE
Mailing Address - Street 2:STE 222
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-3265
Mailing Address - Country:US
Mailing Address - Phone:314-768-3685
Mailing Address - Fax:314-768-3788
Practice Address - Street 1:1025 DUNN RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8205
Practice Address - Country:US
Practice Address - Phone:314-736-1333
Practice Address - Fax:314-736-1336
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO12207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine