Provider Demographics
NPI:1427489459
Name:AHMED & AHMED PHYSICIANS P C
Entity type:Organization
Organization Name:AHMED & AHMED PHYSICIANS P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:GANSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-930-5069
Mailing Address - Street 1:9 LIMESTONE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7051
Mailing Address - Country:US
Mailing Address - Phone:716-626-4200
Mailing Address - Fax:716-626-4201
Practice Address - Street 1:9 LIMESTONE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7051
Practice Address - Country:US
Practice Address - Phone:716-626-4200
Practice Address - Fax:716-626-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245858-12084P0805X
NY259583-1207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03336261Medicaid
NY03031990Medicaid
NY03038713Medicaid
NY03206360Medicaid
NY05221738Medicaid
NY04154005Medicaid
NY05010706Medicaid