Provider Demographics
NPI:1013966316
Name:AHMED, ASIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIYA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
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 586
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-0586
Mailing Address - Country:US
Mailing Address - Phone:281-357-0666
Mailing Address - Fax:281-357-2740
Practice Address - Street 1:455 SCHOOL ST
Practice Address - Street 2:SUITE 27
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4593
Practice Address - Country:US
Practice Address - Phone:281-357-0666
Practice Address - Fax:281-357-2740
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3902207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150977002Medicaid
TX150977002Medicaid
TX00550FMedicare ID - Type Unspecified