Provider Demographics
NPI:1376319012
Name:BAH, AHMED A
Entity Type:Individual
Prefix:MR
First Name:AHMED
Middle Name:A
Last Name:BAH
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:JEAN
Other - Middle Name:F
Other - Last Name:CAMARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7934 9TH AVE SW UNIT C
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2107
Mailing Address - Country:US
Mailing Address - Phone:206-643-1900
Mailing Address - Fax:
Practice Address - Street 1:7934 9TH AVE SW UNIT C
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2107
Practice Address - Country:US
Practice Address - Phone:206-643-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician