Provider Demographics
NPI:1710934625
Name:AHMAD, KAASHIF A (MD)
Entity Type:Individual
Prefix:
First Name:KAASHIF
Middle Name:A
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3001 E PRESIDENT GEORGE BUSH HWY STE 250
Mailing Address - Street 2:ATTN: PROVIDER ENROLLMENT
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3552
Mailing Address - Country:US
Mailing Address - Phone:888-822-2855
Mailing Address - Fax:972-764-1661
Practice Address - Street 1:7700 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3902
Practice Address - Country:US
Practice Address - Phone:210-575-4097
Practice Address - Fax:210-541-9123
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN29012080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212591601Medicaid