Provider Demographics
NPI:1578625505
Name:AHMAD, AFTAB S (MD)
Entity Type:Individual
Prefix:DR
First Name:AFTAB
Middle Name:S
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SYED
Other - Middle Name:AFTAB
Other - Last Name:AHMAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9802 FM 1960 W BYPASS RD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3501
Mailing Address - Country:US
Mailing Address - Phone:281-446-4273
Mailing Address - Fax:281-446-4275
Practice Address - Street 1:9802 FM 1960 W BYPASS RD
Practice Address - Street 2:SUITE 175
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3501
Practice Address - Country:US
Practice Address - Phone:281-446-4273
Practice Address - Fax:281-446-4275
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25211207Q00000X
VA0101240315207Q00000X
TXM5608207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1659617868OtherGROUP NPI