Provider Demographics
NPI:1932359452
Name:AHMED, MOIZ (MD)
Entity Type:Individual
Prefix:
First Name:MOIZ
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOIZ
Other - Middle Name:
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2830 COMMERCIAL CENTER BLVD
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3094
Mailing Address - Country:US
Mailing Address - Phone:832-437-5218
Mailing Address - Fax:
Practice Address - Street 1:2830 COMMERCIAL CENTER BLVD
Practice Address - Street 2:SUIT # 102
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6405
Practice Address - Country:US
Practice Address - Phone:832-437-5218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1519207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN1519OtherSTATE LICENSE