Individual provider · NPI-1
Rahman Ahmed, DO
Internal Medicine · Tyler, TX
NPI number1912644279
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1912644279
- Entity type
- Individual (NPI-1)
- Name
- Rahman Ahmed
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2022
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | V8916 | TX | Yes |
| 208M00000X | Hospitalist | V8916 | TX |
Practice location
11937 Us Highway 271Tyler, TX 75708-3154
Phone 903-877-5619
Mailing address
1000 E 5th St Ste 1000e5Tyler, TX 75701-3346
Phone 903-590-5612
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