Provider Demographics
NPI:1255378352
Name:AHMED, SYED (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
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 1:17115 RED OAK DR
Mailing Address - Street 2:114
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2641
Mailing Address - Country:US
Mailing Address - Phone:281-809-3664
Mailing Address - Fax:832-400-2116
Practice Address - Street 1:11715 RED OAK DR
Practice Address - Street 2:SUIT 114
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090
Practice Address - Country:US
Practice Address - Phone:281-809-3664
Practice Address - Fax:832-400-2116
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0742207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8P9810OtherBLUE CROSS
TX146472101OtherFIRSTCARE
TX149164904Medicaid
TXP00254237OtherRAILROAD MEDICARE
TX149164904Medicaid
TX8P9810OtherBLUE CROSS