Provider Demographics
NPI:1720146673
Name:AHMAD, ASMA (MD)
Entity Type:Individual
Prefix:
First Name:ASMA
Middle Name:
Last Name:AHMAD
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:VANDERBILT UNIVERSITY MEDICAL 1161 21ST AVE S
Mailing Address - Street 2:RM CCC-1106 MEDICAL CENTER NORTH, DEPT OF RADIOLOGY
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-343-1501
Mailing Address - Fax:615-343-8784
Practice Address - Street 1:1161 21ST AVE S
Practice Address - Street 2:RM CCC-1106 MEDICAL CNTR N, DEPT OF RADIOLOGY
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2675
Practice Address - Country:US
Practice Address - Phone:615-343-1501
Practice Address - Fax:615-343-8784
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2012-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01065606A2085R0202X
TNMD453662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200911250Medicaid
IN200911250Medicaid