Provider Demographics
NPI:1972616241
Name:AHMED, HUMA P (MD)
Entity Type:Individual
Prefix:DR
First Name:HUMA
Middle Name:P
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4730 HAMMOND INDUSTRIAL DR
Mailing Address - Street 2:STE 400
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-3917
Mailing Address - Country:US
Mailing Address - Phone:770-205-2220
Mailing Address - Fax:770-205-7112
Practice Address - Street 1:2443 BROOKSTONE CENTRE PKWY STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-4664
Practice Address - Country:US
Practice Address - Phone:706-320-8900
Practice Address - Fax:706-320-8919
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA062935207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA240054060Medicaid
GA20211I7935Medicare PIN
I57431Medicare UPIN