Provider Demographics
NPI:1326014788
Name:AHMED, AZRA A (MD)
Entity Type:Individual
Prefix:
First Name:AZRA
Middle Name:A
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:821 N EUTAW ST
Mailing Address - Street 2:S-103
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4648
Mailing Address - Country:US
Mailing Address - Phone:410-225-8760
Mailing Address - Fax:410-225-8456
Practice Address - Street 1:821 N EUTAW ST
Practice Address - Street 2:S-103
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4648
Practice Address - Country:US
Practice Address - Phone:410-225-8760
Practice Address - Fax:410-225-8456
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2008-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0039127207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1326014788Medicare Oscar/Certification
MD206QMedicare PIN