Provider Demographics
NPI:1609908821
Name:AHMED, BASEM B (MD)
Entity Type:Individual
Prefix:
First Name:BASEM
Middle Name:B
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10819 NOLAND CT
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3739
Mailing Address - Country:US
Mailing Address - Phone:913-469-0048
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF KANSAS MEDICAL CTR 3901 RAINBOW BLVD
Practice Address - Street 2:2017 WAHL HALL WEST MS 3045
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-7070
Practice Address - Fax:913-588-7076
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
KS946513207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology