Provider Demographics
NPI:1467450346
Name:AHMED, SUMAYYA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUMAYYA
Middle Name:
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 1:335 OXFORD ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622
Mailing Address - Country:US
Mailing Address - Phone:330-364-7551
Mailing Address - Fax:330-364-7553
Practice Address - Street 1:335 OXFORD ST
Practice Address - Street 2:SUITE C
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622
Practice Address - Country:US
Practice Address - Phone:330-364-7551
Practice Address - Fax:330-364-7553
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084904207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1376559799OtherGROUP NPI
OH2157320OtherGROUP MEDICAID
OH2515013Medicaid
OH2157320OtherGROUP MEDICAID
I14659Medicare UPIN