Provider Demographics
NPI:1265666036
Name:AHMED, MD JEWEL (MD)
Entity Type:Individual
Prefix:
First Name:MD
Middle Name:JEWEL
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 1:3532 DRIPPING SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-6804
Mailing Address - Country:US
Mailing Address - Phone:806-282-2127
Mailing Address - Fax:
Practice Address - Street 1:6800 PRESTON RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2505
Practice Address - Country:US
Practice Address - Phone:806-355-6593
Practice Address - Fax:806-352-8774
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2181208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP2181OtherTEXAS MEDICAL LICENSE