Provider Demographics
NPI:1568478683
Name:AHMED, SYED JAWED (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:JAWED
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 1:1019 N LAFAYETTE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3834
Mailing Address - Country:US
Mailing Address - Phone:704-487-9766
Mailing Address - Fax:704-487-9891
Practice Address - Street 1:1019 N LAFAYETTE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3834
Practice Address - Country:US
Practice Address - Phone:704-487-9766
Practice Address - Fax:704-487-9891
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400696207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10089273OtherRAILROAD MEDICARE
NC8910431Medicaid
10431OtherBCBS
0114QOtherBCBS GROUP
2321972OtherMEDICARE UPIN GROUP
3141153OtherUNITED HEALTHCARE
56262OtherMEDCOST
561884447OtherGROUP
NC890114QMedicaid
0114QOtherBCBS GROUP
NC8910431Medicaid