Provider Demographics
NPI:1518320480
Name:AHMED, AMBEREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBEREEN
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 1:202 N ALLEN DR
Mailing Address - Street 2:E-122
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2547
Mailing Address - Country:US
Mailing Address - Phone:214-881-2787
Mailing Address - Fax:
Practice Address - Street 1:202 N ALLEN DR
Practice Address - Street 2:E-122
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2547
Practice Address - Country:US
Practice Address - Phone:214-881-2787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171R00000X, 390200000X
TX1744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171R00000XOther Service ProvidersInterpreter
No1744R1102XOther Service ProvidersSpecialistResearch Study