Provider Demographics
NPI:1144568759
Name:AHMED, WAQAS (MD)
Entity Type:Individual
Prefix:DR
First Name:WAQAS
Middle Name:
Last Name:AHMED
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 1:1249 S CEDAR CREST BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6200
Mailing Address - Country:US
Mailing Address - Phone:610-770-2200
Mailing Address - Fax:610-770-2990
Practice Address - Street 1:1249 S CEDAR CREST BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6200
Practice Address - Country:US
Practice Address - Phone:610-770-2200
Practice Address - Fax:610-770-2228
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY45552207RC0000X
PAMD446748207RC0000X
VA0101257421207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100255570Medicaid
PA103046740Medicaid
PA103046740Medicaid
KYK100530Medicare PIN
PA431644FLTMedicare PIN