Provider Demographics
NPI:1457354854
Name:AHMED, RAFIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFIQUE
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 1:450 S WASHINGTON ST
Mailing Address - Street 2:STE A
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-2500
Mailing Address - Country:US
Mailing Address - Phone:717-339-3105
Mailing Address - Fax:717-798-3670
Practice Address - Street 1:9105 FRANKLIN SQUARE DR
Practice Address - Street 2:STE 209
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3958
Practice Address - Country:US
Practice Address - Phone:410-574-1330
Practice Address - Fax:410-574-2691
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD473723207RC0000X, 207RC0001X
MDD0057917207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD681102700Medicaid
MD681102700Medicaid
MD000LB615Medicare ID - Type Unspecified