Provider Demographics
NPI:1932165396
Name:AHMED, TAHMINA K (MD)
Entity Type:Individual
Prefix:
First Name:TAHMINA
Middle Name:K
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9716 FOREST GROVE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1414
Mailing Address - Country:US
Mailing Address - Phone:301-681-8797
Mailing Address - Fax:301-681-8797
Practice Address - Street 1:831 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 27
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2916
Practice Address - Country:US
Practice Address - Phone:301-445-9595
Practice Address - Fax:301-445-4499
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060100207R00000X
DCMD034303207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD101373OtherPRIORITY PARTNER
MD190979OtherAMERIGROUP, MARYLAND
MD1149946OtherAETNA HMO
MD552 ATKOtherBCBS MARYLAND
DCJ4970001OtherBCBS DC
MD5655220OtherCOMMUNITY CARE NETWORKPPO
MD101373OtherJOHNS HOPKINS HEALTH CARE
DC035154200Medicaid
MD403153900Medicaid
MD7582511OtherAETNA
H95632Medicare UPIN
DC491639Medicare ID - Type UnspecifiedMETRO DC