Provider Demographics
NPI:1093886798
Name:TAHMINA K AHMED. MD,PC
Entity Type:Organization
Organization Name:TAHMINA K AHMED. MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAHMINA
Authorized Official - Middle Name:KHANAM
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-681-8797
Mailing Address - Street 1:9716 FOREST GROVE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1414
Mailing Address - Country:US
Mailing Address - Phone:301-681-8797
Mailing Address - Fax:301-681-8797
Practice Address - Street 1:831 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 27
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2916
Practice Address - Country:US
Practice Address - Phone:301-445-9595
Practice Address - Fax:301-445-4499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty