Provider Demographics
NPI:1497858591
Name:AHMED, SAJID (MD)
Entity Type:Individual
Prefix:
First Name:SAJID
Middle Name:
Last Name:AHMED
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 1:619 S 8TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4260
Mailing Address - Country:US
Mailing Address - Phone:470-267-1970
Mailing Address - Fax:470-986-7053
Practice Address - Street 1:619 S 8TH ST STE 301
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4260
Practice Address - Country:US
Practice Address - Phone:470-267-1970
Practice Address - Fax:470-986-7053
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA048202207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00881812AMedicaid
GA000881812DMedicaid
AL009984300OtherMEDICAID
AL160973Medicaid
AL009984300OtherMEDICAID
GA83BBBQFMedicare ID - Type Unspecified