Provider Demographics
NPI:1740298553
Name:AHAD, HOMAIRA (MD)
Entity type:Individual
Prefix:
First Name:HOMAIRA
Middle Name:
Last Name:AHAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HOMAIRA
Other - Middle Name:AHAD
Other - Last Name:AMIRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:201 ATLANTIC ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3042
Mailing Address - Country:US
Mailing Address - Phone:202-516-5975
Mailing Address - Fax:
Practice Address - Street 1:201 ATLANTIC ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3042
Practice Address - Country:US
Practice Address - Phone:202-516-5975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD21214207RA0401X, 2084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine