Provider Demographics
NPI:1235387119
Name:AHMED, OMER (MD)
Entity Type:Individual
Prefix:
First Name:OMER
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 1:462 1ST AVE
Mailing Address - Street 2:PULMONARY DIVISION BV 7N24
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-562-1720
Mailing Address - Fax:212-562-1728
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:PULMONARY DIVISION BV 7N24
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-1720
Practice Address - Fax:212-562-1728
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40969282N00000X
AZR70636207RP1001X
NY281754207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No282N00000XHospitalsGeneral Acute Care Hospital
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease