Provider Demographics
NPI:1720439540
Name:AHMED, AUSAF (MBBS)
Entity Type:Individual
Prefix:
First Name:AUSAF
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LAKE CUMBERLAND NEUROLOGY ASSOCIATES
Mailing Address - Street 2:103 HARDIN LANE
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-0001
Mailing Address - Country:US
Mailing Address - Phone:606-451-0300
Mailing Address - Fax:
Practice Address - Street 1:103 HARDIN LN STE A
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-3814
Practice Address - Country:US
Practice Address - Phone:606-451-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY548572084N0400X
MN670682084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology