Provider Demographics
NPI:1033641832
Name:AHMED, SAMIHAH (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:SAMIHAH
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8123 267TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1531
Mailing Address - Country:US
Mailing Address - Phone:718-704-4190
Mailing Address - Fax:212-434-2577
Practice Address - Street 1:8040 COOPER AVE STE 4204
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7726
Practice Address - Country:US
Practice Address - Phone:718-887-3090
Practice Address - Fax:718-326-2656
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306615207RE0101X, 207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism