Provider Demographics
NPI:1508882416
Name:AHMED, SAYEED (MD)
Entity Type:Individual
Prefix:
First Name:SAYEED
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 1:105 TAVERN ROAD
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401
Mailing Address - Country:US
Mailing Address - Phone:304-267-8478
Mailing Address - Fax:304-264-4684
Practice Address - Street 1:105 TAVERN ROAD
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401
Practice Address - Country:US
Practice Address - Phone:304-267-8478
Practice Address - Fax:304-264-4684
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV15012207RC0000X
MDD0034775207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVD34775Medicaid
WV0611751Medicare ID - Type Unspecified
D49444Medicare UPIN