Provider Demographics
NPI:1568185361
Name:AHMED, NAHIDA
Entity Type:Individual
Prefix:
First Name:NAHIDA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22307 114TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1218
Mailing Address - Country:US
Mailing Address - Phone:929-293-8043
Mailing Address - Fax:
Practice Address - Street 1:4308 52ND ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4542
Practice Address - Country:US
Practice Address - Phone:718-458-4243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty