Provider Demographics
NPI:1609112457
Name:AHMED, AHMED FARGHAL
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:FARGHAL
Last Name:AHMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 BARRETT RUN PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2971
Mailing Address - Country:US
Mailing Address - Phone:410-398-0590
Mailing Address - Fax:
Practice Address - Street 1:677 E PULASKI HWY STE 1B
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6057
Practice Address - Country:US
Practice Address - Phone:410-398-0590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-26
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor