Provider Demographics
NPI:1538134911
Name:AHMED, ZIA (MD)
Entity Type:Individual
Prefix:
First Name:ZIA
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:PO BOX 4
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-0004
Mailing Address - Country:US
Mailing Address - Phone:718-760-1600
Mailing Address - Fax:
Practice Address - Street 1:9425 59TH AVE
Practice Address - Street 2:STE F-7
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5150
Practice Address - Country:US
Practice Address - Phone:718-760-1600
Practice Address - Fax:718-760-1634
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1757472084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01443943Medicaid
NY01443943Medicaid