Provider Demographics
NPI:1952460917
Name:AHMED, ABDUL Q (MD)
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:Q
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:PO BOX 643386
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-3386
Mailing Address - Country:US
Mailing Address - Phone:513-889-2554
Mailing Address - Fax:513-889-2557
Practice Address - Street 1:3035 HAMILTON MASON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-5307
Practice Address - Country:US
Practice Address - Phone:513-889-2554
Practice Address - Fax:513-889-2557
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084628207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2494411Medicaid
OHP00652607OtherMEDICARE RR
OHP00652607OtherMEDICARE RR
OH2494411Medicaid
OH4140451Medicare PIN