Provider Demographics
NPI:1770568495
Name:AHMED, JEHANARA (MD)
Entity type:Individual
Prefix:
First Name:JEHANARA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3070 COLLEGE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4691
Mailing Address - Country:US
Mailing Address - Phone:409-434-4069
Mailing Address - Fax:409-347-7049
Practice Address - Street 1:3070 COLLEGE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4691
Practice Address - Country:US
Practice Address - Phone:409-434-4069
Practice Address - Fax:409-347-7049
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2527207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism