Provider Demographics
NPI:1326089947
Name:AHMED, AGHA JAMIL (MD)
Entity Type:Individual
Prefix:
First Name:AGHA
Middle Name:JAMIL
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAMIL
Other - Middle Name:
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2101 N WALDRON ST
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-1131
Mailing Address - Country:US
Mailing Address - Phone:620-669-2500
Mailing Address - Fax:620-694-4225
Practice Address - Street 1:2101 N WALDRON ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1131
Practice Address - Country:US
Practice Address - Phone:620-669-2500
Practice Address - Fax:620-669-2597
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE23272207RC0000X
KS04-34135207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200635120AMedicaid
NE247983OtherMIDLANDS CHOICE
NEP00267683OtherRR
NE31192OtherBCBSNE
NE279299Medicare ID - Type Unspecified
NEI40660Medicare UPIN
NEP00267683OtherRR
NE31192OtherBCBSNE