Provider Demographics
NPI:1932286937
Name:AHMED, IFTEKHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:IFTEKHAR
Middle Name:
Last Name:AHMED
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 1:2330 E MEYER BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1132
Mailing Address - Country:US
Mailing Address - Phone:816-756-2651
Mailing Address - Fax:816-756-2655
Practice Address - Street 1:2330 E MEYER BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1132
Practice Address - Country:US
Practice Address - Phone:816-756-2651
Practice Address - Fax:816-756-2655
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR77622084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201430402Medicaid
KS100193840 CMedicaid
KS100193840 CMedicaid
68844S8Medicare ID - Type Unspecified
MO201430402Medicaid
MOX094458Medicare PIN
MOP00463271Medicare PIN