Provider Demographics
NPI:1528038916
Name:AHMED, HANY H (MD)
Entity Type:Individual
Prefix:
First Name:HANY
Middle Name:H
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HANY
Other - Middle Name:H
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1919 N. LOOP WEST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1374
Mailing Address - Country:US
Mailing Address - Phone:713-429-5612
Mailing Address - Fax:713-589-4413
Practice Address - Street 1:1919 NORTH LOOP W
Practice Address - Street 2:SUITE 115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1374
Practice Address - Country:US
Practice Address - Phone:713-429-5612
Practice Address - Fax:713-589-4413
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1452174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178320101Medicaid
TX178317701Medicaid
TX8F1162Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE ID
TX178317701Medicaid