Basic Information
Provider Information
NPI: 1033434337
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMED
FirstName: NAHREEN
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 CIVIC CENTER BLVD FL 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191045161
CountryCode: US
TelephoneNumber: 2156623202
FaxNumber: 2153498432
Practice Location
Address1: 3400 CIVIC CENTER BLVD FL 1
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191045161
CountryCode: US
TelephoneNumber: 2156623202
FaxNumber: 2153498432
Other Information
ProviderEnumerationDate: 03/30/2010
LastUpdateDate: 09/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X036.133266ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X036.133266ILN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XMD461431PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


Home