Provider Demographics
NPI:1689372195
Name:AHAMAD, SOHAG (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:SOHAG
Middle Name:
Last Name:AHAMAD
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4135 GREAT BEAR PL APT 4201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7973
Mailing Address - Country:US
Mailing Address - Phone:281-818-7336
Mailing Address - Fax:
Practice Address - Street 1:4135 GREAT BEAR PL APT 4201
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7973
Practice Address - Country:US
Practice Address - Phone:281-818-7336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor