Provider Demographics
NPI:1083857551
Name:AHMED, OSAMA IQBAL (MD)
Entity Type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:IQBAL
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 4585, MSC#700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4585
Mailing Address - Country:US
Mailing Address - Phone:210-625-4733
Mailing Address - Fax:210-625-4734
Practice Address - Street 1:12709 TOEPPERWEIN RD STE 101
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3259
Practice Address - Country:US
Practice Address - Phone:210-625-4733
Practice Address - Fax:210-625-4734
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR0681207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery