Provider Demographics
NPI:1801826052
Name:ROBBIE, AHMED TM (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:TM
Last Name:ROBBIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803
Mailing Address - Country:US
Mailing Address - Phone:417-782-5500
Mailing Address - Fax:417-782-8516
Practice Address - Street 1:1905 W 32ND ST
Practice Address - Street 2:STE 403
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804
Practice Address - Country:US
Practice Address - Phone:417-782-5500
Practice Address - Fax:417-782-8516
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020147992084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO189167OtherANTHEM
P00116562OtherRR MEDICARE
OK200009130AMedicaid
MO205867609Medicaid
KS200260910AMedicaid