Provider Demographics
NPI:1972227130
Name:AHMED, AHMED
Entity Type:Individual
Prefix:MR
First Name:AHMED
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 RICHFIELD PKWY APT 134
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-6412
Mailing Address - Country:US
Mailing Address - Phone:612-229-1471
Mailing Address - Fax:
Practice Address - Street 1:6701 RICHFIELD PKWY APT 230
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-7532
Practice Address - Country:US
Practice Address - Phone:612-229-1471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)