Provider Demographics
NPI:1306369749
Name:AHMED, JOKHA A (MD)
Entity Type:Individual
Prefix:
First Name:JOKHA
Middle Name:A
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:47 HIGH STREET, SUITE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845
Mailing Address - Country:US
Mailing Address - Phone:978-258-4734
Mailing Address - Fax:
Practice Address - Street 1:295 VARNUM AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2134
Practice Address - Country:US
Practice Address - Phone:978-937-6000
Practice Address - Fax:301-618-2986
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA287620207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine