Provider Demographics
NPI:1275517799
Name:AHMED, NUZHAT F (MD)
Entity Type:Individual
Prefix:DR
First Name:NUZHAT
Middle Name:F
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5520 INDEPENDENCE PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4607
Mailing Address - Country:US
Mailing Address - Phone:214-383-0001
Mailing Address - Fax:214-383-0068
Practice Address - Street 1:5520 INDEPENDENCE PKWY STE 201
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4607
Practice Address - Country:US
Practice Address - Phone:214-383-0001
Practice Address - Fax:214-383-0068
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3664207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045085001Medicaid
TX045085001Medicaid
TX86E235Medicare PIN
TXTXB156856Medicare PIN
TXG6158Medicare UPIN