Provider Demographics
NPI:1740275247
Name:AHMED, SALAHUDDIN (MB,BS,)
Entity type:Individual
Prefix:
First Name:SALAHUDDIN
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MB,BS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7437 S. EASTERN AVE. # 611
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123
Mailing Address - Country:US
Mailing Address - Phone:702-786-3869
Mailing Address - Fax:702-548-7445
Practice Address - Street 1:7437 S. EASTERN AVE. # 611
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123
Practice Address - Country:US
Practice Address - Phone:702-238-3465
Practice Address - Fax:702-548-7445
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8583207LC0200X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1740275247Medicaid
NVG66315Medicare UPIN