Provider Demographics
NPI:1417276635
Name:AHMED, WAMDA OSMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:WAMDA
Middle Name:OSMAN
Last Name:AHMED
Suffix:
Gender:F
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:PO BOX 131516
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77219-1516
Mailing Address - Country:US
Mailing Address - Phone:713-254-2421
Mailing Address - Fax:
Practice Address - Street 1:16605 SOUTHWEST FWY STE 600
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3545
Practice Address - Country:US
Practice Address - Phone:281-274-7595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ48812084A2900X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00106WOtherMDCR GRP PTAN HARRIS CO.
TX153449704OtherMDCD GRP TPI HARRIS CO
TXDB6392OtherRR GRP PTAN HARRIS CO
TX328853203Medicaid
TX328853202Medicaid
TX328853202Medicaid