Provider Demographics
NPI:1609211911
Name:AHMED, BRITTANY NICOLE (MD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NICOLE
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 1:9938 MICHAEL IRVIN ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0072
Mailing Address - Country:US
Mailing Address - Phone:918-859-6362
Mailing Address - Fax:
Practice Address - Street 1:1498 PACIFIC AVE STE 400
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4208
Practice Address - Country:US
Practice Address - Phone:855-768-6363
Practice Address - Fax:253-682-1714
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR9903207R00000X, 207RR0500X
KS04-40880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine