Individual provider · NPI-1

Mushtaque Ahmed, MD

Internal Medicine · Humble, TX

NPI number1689843518
StatusActive
Last updated in NPPESFeb 1, 2023

Details

NPI
1689843518
Entity type
Individual (NPI-1)
Name
Mushtaque Ahmed
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 25, 2008
Certification date
Feb 1, 2023
Last updated
Feb 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineT2305TXYes
207R00000X Internal Medicine31740KY

Practice location

18652 Mckay Dr Ste 100
Humble, TX 77338-5727

Phone 713-461-2915 · Fax 713-461-5307

Mailing address

Po Box 392929
Pittsburgh, PA 15251-9900

Phone 713-461-2915 · Fax 713-461-5307

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