Provider Demographics
NPI:1013612274
Name:AHMED, TAHA (MD)
Entity type:Individual
Prefix:
First Name:TAHA
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 1:4409 RUE SAINT MARTIN
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1150
Mailing Address - Country:US
Mailing Address - Phone:586-744-6859
Mailing Address - Fax:
Practice Address - Street 1:4409 RUE SAINT MARTIN
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1150
Practice Address - Country:US
Practice Address - Phone:586-744-6859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program