Provider Demographics
NPI:1265595359
Name:AHMED, ASIM A (MD)
Entity type:Individual
Prefix:
First Name:ASIM
Middle Name:A
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:186 COMMONWEALTH AVE
Mailing Address - Street 2:APARTMENT #43
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-2751
Mailing Address - Country:US
Mailing Address - Phone:617-919-2900
Mailing Address - Fax:
Practice Address - Street 1:333 LONGWOOD AVE
Practice Address - Street 2:SUITE 650
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5711
Practice Address - Country:US
Practice Address - Phone:617-919-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA222021208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics