Mushtaque Ahmed, MD
Internal Medicine, Cardiovascular Disease in Conroe, TX. Individual provider (NPI-1).
NPI number1275917361
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1275917361
- Entity type
- Individual (NPI-1)
- Name
- Mushtaque Ahmed
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2015
- Certification date
- Sep 9, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | S5539 | TX | Yes |
| 207R00000X | Internal Medicine | MD476166 | PA | |
| 208M00000X | Hospitalist | MD476166 | PA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
100 Medical Center Blvd Ste 200Conroe, TX 77304-2821
Phone 936-441-9680
Mailing address
100 E Lancaster AveWynnewood, PA 19096-3450
Phone 484-476-6421
Other practice locations
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Wynnewood, PA 19096-3450
Phone 484-476-6421
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