Provider Demographics
NPI:1760017339
Name:AHMED, AYESHA (PA)
Entity Type:Individual
Prefix:
First Name:AYESHA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:2337 E CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3713
Mailing Address - Country:US
Mailing Address - Phone:785-823-0633
Mailing Address - Fax:785-823-0658
Practice Address - Street 1:1401 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2570
Practice Address - Country:US
Practice Address - Phone:620-342-1117
Practice Address - Fax:620-342-1185
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2021-06-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant