Provider Demographics
NPI:1710917380
Name:AHMED, SALEHA R (MD)
Entity Type:Individual
Prefix:DR
First Name:SALEHA
Middle Name:R
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 NORTH LOOP W STE 480
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1548
Mailing Address - Country:US
Mailing Address - Phone:713-861-7773
Mailing Address - Fax:713-861-7756
Practice Address - Street 1:1631 NORTH LOOP W STE 480
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1548
Practice Address - Country:US
Practice Address - Phone:713-861-7773
Practice Address - Fax:713-861-7556
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8865207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122338003Medicaid
TXG71948Medicare UPIN
TX122338003Medicaid