Provider Demographics
NPI:1568622397
Name:AHMAD, KHALID SAIFULLAH (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALID
Middle Name:SAIFULLAH
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:465 BLUE POINT RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1839
Mailing Address - Country:US
Mailing Address - Phone:631-495-1962
Mailing Address - Fax:631-615-1043
Practice Address - Street 1:465 BLUE POINT RD
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1839
Practice Address - Country:US
Practice Address - Phone:631-495-1962
Practice Address - Fax:631-615-1043
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY254147207QS1201X, 2080S0012X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine