Provider Demographics
NPI:1215026620
Name:AHMED, ALIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALIYA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10773 WHISPER TRL
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-8548
Mailing Address - Country:US
Mailing Address - Phone:901-827-7821
Mailing Address - Fax:901-850-8057
Practice Address - Street 1:3294 POPLAR AVE STE 100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-4649
Practice Address - Country:US
Practice Address - Phone:901-362-8671
Practice Address - Fax:901-458-4896
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN38830207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH47014Medicare UPIN
TN3894185Medicare PIN