Provider Demographics
NPI:1831579812
Name:AHMED FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:AHMED FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASHIF
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-968-9469
Mailing Address - Street 1:528 FOREST PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-6109
Mailing Address - Country:US
Mailing Address - Phone:404-968-9469
Mailing Address - Fax:
Practice Address - Street 1:528 FOREST PKWY
Practice Address - Street 2:STE A
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-6109
Practice Address - Country:US
Practice Address - Phone:404-968-9469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty