Provider Demographics
NPI:1609080373
Name:AHMED, NASIYA N (MD)
Entity Type:Individual
Prefix:
First Name:NASIYA
Middle Name:N
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 GAYLORD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2966
Mailing Address - Country:US
Mailing Address - Phone:832-930-7877
Mailing Address - Fax:
Practice Address - Street 1:9090 GAYLORD DR # 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2966
Practice Address - Country:US
Practice Address - Phone:832-930-7877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6004207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187572601Medicaid
TX8W6319OtherBCBS
TX274751YMSKMedicare PIN
TX8J6778Medicare PIN
TX187572601Medicaid