Provider Demographics
NPI:1912920679
Name:AHMED, SADIQ (MD)
Entity Type:Individual
Prefix:MR
First Name:SADIQ
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF KENTUCKY CHANDLER MEDICAL CTR
Mailing Address - Street 2:800 ROSE STREET, ROOM NO; 564
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0298
Mailing Address - Country:US
Mailing Address - Phone:859-323-5049
Mailing Address - Fax:859-323-0232
Practice Address - Street 1:UNIVERSITY OF KENTUCKY CHANDLER MEDICAL CTR
Practice Address - Street 2:800 ROSE STREET, ROOM NO; 564
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0298
Practice Address - Country:US
Practice Address - Phone:859-323-5049
Practice Address - Fax:859-323-0232
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY36247207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64038698Medicaid
KY0726403Medicare PIN
KY64038698Medicaid