Provider Demographics
NPI:1407073745
Name:WAHBY, AHMED R (RPH)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:R
Last Name:WAHBY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 FM 802
Mailing Address - Street 2:APT#112
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-2821
Mailing Address - Country:US
Mailing Address - Phone:732-735-2806
Mailing Address - Fax:
Practice Address - Street 1:2150 N EXPRESSWAY # 83
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1561
Practice Address - Country:US
Practice Address - Phone:956-547-1685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI028093001835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology