Individual provider · NPI-1
Omar Gasudraz Ahmed, MD
Otolaryngology · Houston, TX
NPI number1689091522
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1689091522
- Entity type
- Individual (NPI-1)
- Name
- Omar Gasudraz Ahmed
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2014
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | S5306 | TX | Yes |
| 207Y00000X | Otolaryngology | D87062 | MD |
Practice location
6550 Fannin St Ste 1723Houston, TX 77030-2747
Phone 713-441-1368
Mailing address
6550 Fannin St Ste 1723Houston, TX 77030-2747
Phone 713-441-1368
Other practice locations
601 N Caroline St Ste 6011
Baltimore, MD 21287-0006
Baltimore, MD 21287-0006
Phone 410-955-7508 · Fax 410-614-8610
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