Provider Demographics
NPI:1235111592
Name:AHMAD, RAZEE AMEIR (MD)
Entity Type:Individual
Prefix:
First Name:RAZEE
Middle Name:AMEIR
Last Name:AHMAD
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 1:4711 POPLAR SPG DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-2622
Mailing Address - Country:US
Mailing Address - Phone:601-485-7777
Mailing Address - Fax:601-485-7766
Practice Address - Street 1:4711 POPLAR SPG DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-2622
Practice Address - Country:US
Practice Address - Phone:601-485-7777
Practice Address - Fax:601-485-7766
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS14494207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04278332Medicaid
MS00925081Medicaid
MS04278332Medicaid
MS00925081Medicaid
MS253808Medicare Oscar/Certification
MS253841Medicare Oscar/Certification