Provider Demographics
NPI:1295795284
Name:AHMED, NADEEM (MD)
Entity type:Individual
Prefix:
First Name:NADEEM
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 1:11189 ASHBURY MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-6403
Mailing Address - Country:US
Mailing Address - Phone:937-723-3348
Mailing Address - Fax:
Practice Address - Street 1:425 W GRAND AVE STE 1006
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-4722
Practice Address - Country:US
Practice Address - Phone:937-723-3348
Practice Address - Fax:937-723-5251
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-09-0613207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2820666Medicaid
OHP00961507Medicare PIN
OHH212830Medicare PIN
OH2820666Medicaid
OHH92064Medicare UPIN