Provider Demographics
NPI:1891799235
Name:AHMEDUDDIN, JAMEELA (MD)
Entity Type:Individual
Prefix:
First Name:JAMEELA
Middle Name:
Last Name:AHMEDUDDIN
Suffix:
Gender:F
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 420150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-0150
Mailing Address - Country:US
Mailing Address - Phone:713-559-6929
Mailing Address - Fax:713-432-0221
Practice Address - Street 1:6801 EMMETT F LOWRY EXPY
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2500
Practice Address - Country:US
Practice Address - Phone:409-938-5000
Practice Address - Fax:409-938-5175
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6974207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80P692OtherBCBS
TX220032274OtherRAILROAD MEDICARE
TX80P692Medicare PIN
TX220032274OtherRAILROAD MEDICARE