Provider Demographics
NPI:1871688952
Name:AHMAD, SALMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SALMAN
Middle Name:
Last Name:AHMAD
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 1:631 STRATFORD LN
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-6130
Mailing Address - Country:US
Mailing Address - Phone:972-393-5185
Mailing Address - Fax:
Practice Address - Street 1:4605 OAK SPRINGS DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7329
Practice Address - Country:US
Practice Address - Phone:972-724-2235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0591207L00000X
PAMD-058493-L207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097076603Medicaid
TX097076603Medicaid