Provider Demographics
NPI:1356669196
Name:AHMAD, ALA T (MD)
Entity Type:Individual
Prefix:DR
First Name:ALA
Middle Name:T
Last Name:AHMAD
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 1:2639 DR M L KING JR. STREET NORTH
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-2733
Mailing Address - Country:US
Mailing Address - Phone:727-822-6661
Mailing Address - Fax:727-823-1334
Practice Address - Street 1:2639 DR ML KING JR ST N
Practice Address - Street 2:COASTAL PULMONARY AND CRITICAL CARE, P.L.C
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-2733
Practice Address - Country:US
Practice Address - Phone:727-822-6661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120339207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease